2010 Multicultural Calendar

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Please submit the Secure Order form online or print & fax it to : 416-203-9682
U.S. Order Form

Date of order:

Name:

Department:

Company:

Shipping Address

City/State/Zip Code

E-mail:

Phone:

Fax:

Billing Address
(Same as on Credit Card)

City/State/Zip Code

Purchase Order # Personal orders prepaid by check Invoice Company

Credit card type Visa Mastercard Amex

Credit card #

Expiration date:

Name on credit card:

3 digit code

Wall Calendar (Available Oct.1)	Qty:		Price:..	Total:
Desktop (English)	Qty:		Price:..	Total:
Desktop (Bilingual English/French)	Qty:		Price:..	Total:
Yearly Planners	Qty:		Price:..	Total:
Electronic Calendar (English/French/Spanish)	Qty:		Price:..	Total:
Number of Employees:
Subscription for which year/years
English	yes	no
French	yes	no
Spanish	yes	no
Microsoft Outlook	yes	no
Blackberry	yes	no
Lotus Notes	yes	no
Palm Pilot	yes	no
PDF	yes	no
Customize with logo and diversity message	yes	no
Super Customize with pictures	yes	no
Add Company Dates	yes	no
Calendar with logos (Add $250)	yes	no
	Shipping & Handling (refer chart):
	Subtotal:
	Total of U.S. orders payable in USD funds:

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