Repair Order Form

Please print and send completed form with product to:

Mercury Shaver Centre
1331 Warden Avenue, #8
Toronto, Ontario
M1R 5A8


Make Model # Fault Description Flat Rate Amount
         
       
Flat-Rate Repair Pricing & Other Service Information
CLICK HERE
 Shipping Charge $12.95
 HST 13%   NB, NL, NS, ON, PEI  
 GST 5%   AB, BC, MB, NU, NWT, QC, SK, YK  
Questions? 
service@shavercentre.com
Total  
( * Required Information ) Shipping Information
* Customer Name  
* Address  
* City  
* Province                                                          * Postal Code
* Daytime Phone #  (          )                                       Fax # (          )
* Email Address  
Comments  
( * Required Information ) Payment Information
* Credit Card    MasterCard  __      VISA  __      AMEX  __    
* Card Number                                                                                * Expiry:      /       
* Card Holder Name  
* C-Card Billing Address Same As Above  __ 
* City  
* Province                                                           * Postal Code
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