Aperture Camera & Accessories Inc.

PHOTOGRAPHIC EQUIPMENT ORDER FORM

ITEM NAME

QUANTITY

UNIT PRICE

SUB-TOTAL (CAD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                     Total HST/GST/PST  

 

                              Overseas Shipping Charges (consult us for exact amount)

 

                                                                                              Total $

 

Name: _____________________________________________________________________

Address:     _________________________________________________________________

 Province      _____________  Country ______________ Postal Code     __________________

Tel  :  _________________________         Fax :   ______________________

e-mail : ________________________________________

Cheques and money orders should be made payable to : Aperture Camera & Accessories Inc.

Please circle the card you intend to use  Visa / Mastercard / Amex / Diners Club / JCB

Card # ______________________________     Exp. Month/year ____________________

Signature ____________________________      Date______________________________

Please return by mail or fax the completed form, together with the correct payment

and photocopies of both sides of your credit card to :

  Aperture Camera & Accessories Inc.   

  #1165 - 4540 No.3 Road, Richmond,  BC. CANADA. V6X 4E4

 Tel : 604.689.8191       Fax : 1.888.689.8122

  toll free tel :  1.877.689.8191          toll free fax : 1.888.689.8122