Mail - Fax Order form

Mercury Shaver Centre Mail / Fax order form

Please print this form & fax to: (416) 751-6376
or mail to: 1331 Warden Ave #8, Toronto, Ontario M1R 5A8

We accept Visa, MasterCard, Amex & Paypal

Qty	Item #	Description	Price	Total



Shipping Information Cdn. orders: Mail $5-$10 Courier $7-$15 Remote areas up to $20		HST Ontario, B.C. Maritimes
		GST 5% PQ, AB, MB, PEI, SK
		Shipping charges
		Questions? info@shavercentre.com	Total

*( required information )**	Shipping Information
* Customer Name
* Address
* City
* Province	Postal Code:
* Phone #:	( ) Fax #: ( )
* Email Address
Comments

*( required information )**	Billing Information
* Credit card	MasterCard __ VISA __ AMEX __
* Card Number	* Expires: / * CVV:
* Card Holder Name
* C-Card Billing Address	Same as above __
* City
* Province	Postal Code:

I certify that the above information is true:_______________________
Signature of Cardholder