Fax order form

Fax to 1 519 352 6533

Call in to 1 866 355 1351

Date of Order:

Name:

Street Address:

City:

Province/State:

Postal/Zip Code:

Telephone:

Email Address:

Payment:

If sending a cheque, shipment will be held until cheque received

Card Type::

Name on Card:

Card Number:

Expiry Date:

Please note:

1. All prices are in United States dollars
2. The credit card company will apply the exchange rate to convert to your local currency at the time the charge is processed
3. The cost of shipping by UPS depends on the size and weight so estimating is difficult.
   Shipping charges normally range from $11.95 US to $30.00 US
4. Next day service is only available in Northern America. Because shipments must clear US customs they will take between 3 and 5 days by ground

The Dutch Market, 544 Queen St., Chatham, ON N7M 2J6

http://www.dutchmarket.com

info@dutchmarket.com