FAX TO: 705 727 4282
ACCESSORIES & PARTS ORDER FORM
PLEASE PRINT CLEARLY
CONTACT NAME:______________________________________________________________________
SHIP TO :_____________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
TEL :_________________________________FAX :______________________________
EMAIL: __________________________________________________________________
VISA OR MASTERCARD # :_______________________________________ EXPIRY DATE: _____________
SIGNATURE:_____________________________________________________________________________
QUANTITY
PART NUMBER
DESCRIPTION
TAXES MAY APPLY
SHIPPING EXTRA
IF CONFIRMATION IS REQUIRED PLEASE INCLUDE A FAX NUMBER OR EMAIL ADDRESS
35
