Fax: 613-679-0014
Telephone: 613-697-0013
Mr__/Mrs__/Ms__ Date: ____________________
Last Name: _____________________________First Name:_____________________
Address: _______________________________________________________________
City: ____________________State/Prov. :______________ ZIP/Postal Code: ___________
Phone: (___)-____________________ Fax: (___)-________________________
E-Mail: ________________________________________________________________
Quantity____ DESCRIPTION:_________________________________________________
Quantity____ DESCRIPTION:_________________________________________________
Quantity____ DESCRIPTION:_________________________________________________
Quantity____ DESCRIPTION:_________________________________________________
Quantity____ DESCRIPTION:_________________________________________________
Quantity____ DESCRIPTION:_________________________________________________
Quantity____ DESCRIPTION:_________________________________________________
For orders from within Canada, please add the following for mailing: $3.00 for the first item, $1.00 for each additional item. Please add GST at 6% on all items. Ontario residents please add 8% sales tax on tapes, videos, and software.
For from orders outside Canada, please add $4.00 US for the first item, $1.00 US for each additional item.(booklets $.50)
A 10% discount will be given on all orders over $200.00 (excluding the electronic version of ACIM)
Total Sent with this order: _____________
Prepaid by : Cheque ____ or, Money order _____
Make Cheques and Money Orders payable to: Awareness of Miracles
Other comments: