Mercury Shaver Centre  Mail / Fax order form

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

We accept Visa, MasterCard & Amex

Qty Item # Description Price Total
         
         
         
Shipping Information
Cdn. orders: Mail $5-$10
Courier $7-$15
Remote areas up to $20		 PST 8% (Ontario residents only)    
GST 5% (Canadian orders only)    
Shipping charges    
Questions?  info@shavercentre.com Total  
( * required information ) Shipping Information

* Customer Name

  
* Address  (no P/O boxes)  
* 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

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