Citywireless.ca Mail/Fax Order Form

Ship to:
Name:_________________________________________
Address:_______________________________________
City/State/Zip:___________________________________
Country:_______________________________________
Phone:  _______________________________________
E-Mail Address (optional)
______________________
Used to send order shipment notifications.
 

Product Name & Product ID

Price Each
Qty.
Total
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Shipping Method: Expedited XpresspostOvernight Subtotal |_______
Shipping Cost: |_______
GST/HST: |_______
Total |_______
For Money Order, Payable To: Citywireless.ca
Signature:_________________________________
Mail to:  
Citywireless.ca
1 Waringstown Dr
Toronto, ON
M1R 4H2
Canada