SOINNOVA.com

Fax/Mail Order Form

Please print out this Order Form, complete the information and Fax to (416) 538-0225

Email: info@soinnova.com, Phone: (416) 721-6018

Or, mail it together with your cheque or money order in Canadian funds, to:

SOINNOVA.com
2916 Dundas Street West, Suite 406
Toronto, Ontario, M6P 1Y8, Canada

Name:

Address:

City/Town:

Province / State:

Postal / Zip Code:

Email:

Phone Number:

Credit Card #:

Exp:

Name on card:

Billing Address:

or:

Signature:

Products:

Unit Price:

Qty:

Sub Total ($CDN):

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Same as above

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PST(8%):

GST(7%):

Total ($CDN):

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If this is a gift, do you want it shipped directly to the 'giftee'? If so, please
write name and address here:

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Please check type of Wrap/Gift Card you would like:

Christmas Birthday

Please advise how you would like card signed:

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Once your payment is received, we will process and ship your product out within 1-2 business days. You will receive a confirmation email (if email field above is complete) once your product is shipped.

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