DOWNLOAD PRINTABLE ORDER FORM: Mail or fax to complete your order >> (PDF, 14KB)
Vanderhoof, British Columbia Depot and Main Office and Store:
2449 Burrard Avenue, P.O. Box 1335,
Vanderhoof, BC V0J 3A0 CANADA
Telephones: 250-567-6661 or 250-690-7767
Fax: 250-567-6661
Email: galabay@uniserve.com
NB: Ensure that we have your daytime contact information in order to confirm order pricing & payment. |
Customer Name: |
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Telephone: |
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| Delivery/Mailing Address: |
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City: |
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Postal Code: |
Email: |
| Today's Date: |
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Product Name |
$ per item |
No. Ordered |
7% PST |
6% GST |
Subtotal per product plus tax(es) |
| 18.9 litre jug |
$6.00 |
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| 18.9 litre jug deposit |
$10.00 |
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| 18.9 litre jug delivered |
$6.25 |
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| 4 litre jug |
$2.99 |
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| 32 oz. mini jug |
$5.50 |
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| 64 oz. mini jug |
$7.50 |
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| Sports sac for 64 oz jug |
$9.99 |
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| Ceramic water dispenser |
$69.99 |
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| Counter top dispenser |
$89.00 |
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| Floor model dispenser |
$189.00 |
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| 18.9 litre hand pump |
$19.99 |
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| Battery pump |
$29.99 |
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| Cup dispenser |
$24.99 |
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| Dispenser cups (# in pkg) |
$5.58 |
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| Self watering dog dish - large |
$32.95 |
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| Self watering dog dish - small |
$19.99 |
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| Self watering & food dish - small |
$24.95 |
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| Silver Colloid 125 ml. |
$call |
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| Silver Colloid 125 ml. Spray Mister |
$call |
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| Silver Colloid 250 ml. |
$call |
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| Silver Colloid 250 ml. Spray Mister |
$call |
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| Silver Colloid 500 ml. bottle |
$call |
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| Free 500 ml sample bottle water |
Postage & GST due only, email for quote |
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Subtotal all items |
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*We will calculate postage and confirm with you. |
Postage/handling* |
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| **We will confirm total order cost prior to charging you. |
TOTAL $$ ORDER** |
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We accept VISA, Mastercard & CDN Money Orders |
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Visa or Mastercard Credit Card No: |
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| Expiry Date: ___________ / __________ |
Signature as appears on card: |
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