Order Form (fax / email)

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Just to say...Baskets
Ajax, Ontario
905-683-3629
1-888-429-1689
905-683-4832 fax

Contact Name:
Contact Phone:
Contact Email:
Customer Information
Shipping Information
Name:
Name:
Company:
Company:
Address:
Address:
City:
City:
Province:
Province:
Postal Code:
Postal Code:
Phone #:
Phone #:
Do not submit your credit card number. This is currently not a secure site. Place your order and you will be contacted by phone for credit card information.
Master Card:
Visa:
Cardholder Name:
Credit Card #:
Exp. Date:
Cardholder Signature:
 
Occasion:
Card Enclosure:
Yes No
Message on Card:
Qty
Options
(colour size)
Product Name
Unit Price
Total

Credit Card orders are shipped immediately after your order is processed. Order processing normally takes 24 to 36 hours. Please allow 3 to 5 days for shipping. All orders are shipped via Canada Post Expedited ground unless otherwise requested. Local orders are shipped by courier and normally shipped 24 hours after processing.

Subtotal
Shipping
PST
Freight Damage claims are the responsibility of the freight carrier and must be filed accordingly.
GST
Total

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