Desk Reference Order Form

DESK REFERENCE MANUAL ORDER

12th Edition EPC DESK REFERENCE MANUAL ORDER - ONLY $199.00 + TAX

If you reside in AB, BC, SK, MB, QC, NT, NU or YT, your cost is $208.95 - tax & shipping included

If you reside in ON, your cost is $224.87 - tax & shipping included

If you reside in NS, NB, NL or PE your cost is $228.85 - tax & shipping included

Please enter your personal information

Name

Mailing address
Street :
City:
Province:
Postal code:
Home Phone:
Cell Phone:
Business Phone:		Ext:
Fax:
E-mail Address:

For Credit Card Payment/s - We accept the following cards

Visa

MasterCard

Card Number: --- Expiry Date

Name on card:

* PLEASE LEAVE A SPACE BETWEEN THE NUMBERS EXAMPLE - 5555 4444 3333 0000

CVV2# (3 Digit Code on the back of your Credit Card)

For Payments made by Cheque

Make cheques payable to Canadian Initiative for Elder Planning Studies

I will ICS my cheque/s I will Mail my Cheque/s

Mail or ICS cheques to

   Canadian Initiative for Elder Planning Studies
   4438 Ontario Street, Suite 203
   Beamsville, ON L3J 0A4

Note - Your Desk Reference 3 Volume Set will be shipped as soon as we receive your cheque!
(credit card orders shipped immediately)

Type 1234 in the box to the right then click Submit Form:

Canadian Initiative for Elder Planning Studies Inc.
203-4438 Ontario Street

Beamsville, ON L3J 0A4

Toll Free Phone 855-882-3427 Toll Free Fax 866-209-5111