The Fire Emporium - Offline Order Form
First Name
Last Name
Fire Dept./Company
Address
City
Country
Province
Postal Code
Email Address
Phone
Fax
Order Details
SKU
Description
Size
Colour
Qty.
Price
Shipping Cost Determination Schedule
Sub-Total
BC & AB Residents
Rest of Canada & the USA
0-$10.00
$5.90
$6.40
$10.01-$20
$7.80
$8.30
$20.01-$40
$9.50
$10.00
$40.01-$60
$11.20
$11.70
$60.01-$80
$12.90
$13.40
$80.01-$100
$14.60
$15.10
$100 +
add 2.30 per $100
add 2.30 per $100
Shipping
Sub-total
GST
7%
PST
(BC residents add 7%)
TOTAL
(CDN Dollars)
Please Specify Payment Type
Visa
MasterCard
Cheque/Money Order
(Please allow 7 business days for cheque to clear)
Purchase Order
Card Number#
Expiry Date
Name on Card
Signature
Please Fax or Mail Your Order To:
The Fire Emporium
2560 Thacker Drive
Kelowna, BC V1Z 1W3, Canada
Fax: (250)769-3588
Phone: (250)769-3588
Toll Free: 1-866-832-1468
eMail: info@fireemporium.com
(Please make Cheques and Money Orders payable to:
The Fire Emporium
)
Comments for Mail/Fax Orders
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