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Repair Order Form
Please print, then send completed form with product to:
Mercury Shaver Centre
1331 Warden Ave #8,
Scarborough, Ontario M1R 5A8 Canada
| Make |
Model # |
Fault Description |
Flat Rate |
Amount |
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For Flat-Rate repair pricing and other service info click
HERE |
Shipping Charge: |
$9.95 |
| PST 8% (Ontario residents only) |
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| GST 5% (Canadian residents only) |
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| Questions? service@shavercentre.com |
Total |
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| ( * required information )
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Shipping Information |
* Customer Name |
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| * Address (no P/O boxes) |
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| * City |
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| * Province |
Postal: |
| * Daytime Phone #: |
( )
Fax #: ( ) |
| * Email Address |
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| Comments |
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| ( * required information )
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Payment Information |
| * Credit card |
MasterCard __ VISA __ AMEX __ |
| * Card Number |
* Expires: / |
| * Card Holder Name |
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* C-Card Billing Address |
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* City |
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* Province |
Postal: |
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