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/ ECN / E-Marketplace / Education Products / Mind's I

Order Form
Mind's i Inc
106 Lindsay Court
Orangeville, Ontario
Canada L9W 4H1

To complete your order fill out the following information billing and shipping information. Click on the Order Details tab to verify your order then click on the "Place Order" button.

Bill To:

Ship to:

Order Details

Payment Method

School Name*				Ship to same?
Ordered By*				Email*
Address 1*				Phone*
Address 2				Fax
City/Town*
Province
Postal Code*				' • ' indicates a required field.

School Name
Ordered By				Email
Address 1				Phone
Address 2				Fax
City
Province
Postal Code

Item Number	Description	Units	Unit Price	Total Price
Subtotal
Good and Service Tax 7%
Provincial Sales Tax 8%
Shipping & Packaging 15%
Grand Total

Credit Card Type	Or	Purchase Order #
Credit Card #
Name on Card
Expiry
CVN

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