CMW 2002 Session & Tour Guide Order Form
Date:
Name:
Company:
Address:
City:
Province/State:
Postal/ZIP Code:
Country:
Phone:
Fax:
Email:
Web Site:
Type of Company:
Quantity Ordered
(Price: $30 per + GST)
1 Total (including GST) = $32.10
2 Total (including GST) = $64.20
3 Total (including GST) = $96.30
4 Total (including GST) = $128.40
5 Total (including GST) = $160.50
6 Total (including GST) = $192.60
7 Total (including GST) = $224.70
8 Total (including GST) = $256.80
9 Total (including GST) = $288.90
10 Total (including GST) = $321.00
11 Total (including GST) = $353.10
12 Total (including GST) = $385.20
13 Total (including GST) = $417.30
14 Total (including GST) = $449.40
15 Total (including GST) = $481.50
16 Total (including GST) = $513.60
17 Total (including GST) = $545.70
18 Total (including GST) = $577.80
19 Total (including GST) = $609.9
20 Total (including GST) = $642.00
Name on Credit Card:
Credit Card Type:
Visa
American Express
Master Card
Credit Card Number
Expiry Date: