ORDER BY MAIL
Thanks for browsing the catalogue. For your convenience, 2 options are offered for this form.
Northern Pine Designs
  • MAIL ORDERS: Print this form, complete order clearly and mail to:

      NORTHERN PINE DESIGNS
      1919 Overbrook Crescent
      Sudbury, Ont., Canada P3A 5H2
      (Payment must accompany mail orders)

  • FAX ORDERS: Print this form, complete order clearly and fax to 705-560-0949.
  • International Orders are welcome - please use U.S. pricing.
  • For International orders, postage will be calculated at the time the order is shipped.
  • Please include VISA/MasterCard information on faxed orders.
Ship to Name: _________________________________________________
Street Address: _________________________________________________
City & Prov/State & Country: _________________________________________________
Postal/Zip Code _________________________________________________
Telephone Number: _________________________________________________
Email Address: _________________________________________________
Indicate Payment Method: Cheque _____      Money Order _____      Credit Card _____

QTY
ITEM DESCRIPTION
UNIT PRICE
TOTAL

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 		 Subtotal $ _________

 		 Add $2.00 for 1st chart ~ additional items 90¢ each for Shipping/Handling   _________

 		 Subtotal $ _________

 		 ONT. Res. Add 8% PST Tax   _________

 		 CDN Res. Add 5% GST Tax   _________

 		 Total Due $ _________


For customers choosing to pay by credit card in US funds, please note the amount of your purchase will be converted to Canadian funds to be processed through Visa/MasterCard and then charged back to your Visa/MasterCard account in US dollars. Due to fluctations in exchange rates, there may be a slight difference between the actual amount of your order and the amount processed. If you have any questions or require additional information, please send or call 705-560-2919.

 CREDIT CARD INFO:    VISA         MASTERCARD
Card #: _________________________________________
Expiry Date: ______________________
Name on Card: ___________________________________
Signature: _______________________________________
(Canadian orders payable in Canadian funds. US orders payable in US funds.)
Upon receipt of payment, orders will be shipped by regular post.