Order by FAX, Phone or Mail ---- Canadian Order Form

Order by FAX, Phone or Mail ---- Canadian Order Form Canadian Order Form ---------- Order by FAX, Phone or Mail

Fax completed form to: 1 - 519 - 462 - 2002 (VISA)
Call us Toll Free at: 1 - 877 - 245 - 7444 (VISA)
OR
Mail completed form to: Carlisle Bay Co. Ltd.
59 Harwood St. South
Hickson, ON
N0J 1L0
Canada
I own a Fantom Twister 300SE vacuum cleaner

HEPA Filter (3 filters).....................Please ship me ___ S501-3 HEPA filters @ $24.95 ea. =________
Special Pack (6 filters)...........Please ship me ___ S501-6 HEPA Special Pack @ $39.96 ea. =________
Super Special (12 filters)..........Please ship me ___ S501-12 Pack Super Special @ $59.88 ea. =________

Shipping and Handling....Approximate delivery times: 14 days via parcel post, 7 days via express post Shipments to addresses outside of Canada please use the USA and International form.
Parcel Post = FREE
Optional Express Post =$6.95

Shipping and Handling = ____________

SubTotal = ____________

GST (5% of SubTotal) = ____________

Ontario Only PST (8% of SubTotal) = ____________

TOTAL (SubTotal + Taxes) = ______________
CDN Funds

Ship To: (Please Print)

Name: __________________________________________________________________

Street: __________________________________________ Apt: __________

Town/City: ______________________________________ Prov: __________

Postal Code: ____________ Phone: __________________________

Country.....Canada

Payment Information....(Please check one of the following)....Do not send cash by mail.

____ Check No. ____________ enclosed. Please make the check out to Carlisle Bay Co. Ltd.

____ Money order enclosed. Please make the money order out to Carlisle Bay Co. Ltd.

____ VISA....Name on the card: (Please Print) ______________________________________

Card Number: ______________________________________ Exp. Date: ______ / ______

Signature: _____________________________________ Date: ______________________