Desk Reference Order Form

DESK REFERENCE MANUAL ORDER

11th Edition EPC DESK REFERENCE MANUAL ORDER

If you reside in AB, BC, SK, MB, QC, NT, NU or YT, your cost is $166.95 - tax & shipping included

If you reside in ON, your cost is $179.67 - tax & shipping included

If you reside in NS, NB, NL or PE your cost is $182.85 - tax & shipping included

Please enter your personal information

Name

Mailing address
Street :
City:
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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

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* 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