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2012 catalogue - Home - Gabriel Dumont Institute

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ORDER FORM<br />

Please Photocopy and Use Again<br />

<strong>Gabriel</strong> <strong>Dumont</strong> <strong>Institute</strong> ● 2—604, 22nd Street West ● Saskatoon ● Saskatchewan ● S7M 5W1<br />

Phone: (306) 657-5715 ● Fax: (306) 244-0252<br />

Ecommerce Site: https://www.shop.gdins.org<br />

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Page # Item # Qty Title Price (Each) Total<br />

Subtotal: $ ___________<br />

5% G.S.T. ( does not apply to U.S. orders): _____________<br />

5% P.S.T. applies to CDs, Videos, Sashes, and Flags (for Saskatchewan residents only): _____________<br />

Total: $_____________<br />

Shipping Charges are based on weight and destination. Please phone the order desk at (306) 657-5715 to confirm the cost.<br />

Additional charges may apply. All prices and shipping & handling charges are in Canadian funds. All orders are sent by regular mail, unless otherwise directed.<br />

Payment must accompany the order and must be in Canadian funds. Prices subject to change without notice.<br />

Discounts available for schools and bookstores—please contact the order desk for information.<br />

Name/Organization:_________________________________<br />

_________________________________________________<br />

Address:__________________________________________<br />

_________________________________________________<br />

City: _____________________________________________<br />

Postal/Zip Code: ___________________________________<br />

Phone #: ___________________ Fax #: ________________<br />

Cheque □ Money Order □ Purchase Order #: ______________<br />

Visa □ MasterCard □<br />

Card #_____________________________________________<br />

Exp. Date:__________________________________________

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