Video McLuhan / Canadian Mail Order Form

`Video McLuhan Canadian Mail Order Form`

Instructions: Print this tear-off ordering form to order by mail or fax.

PRICES

Full Set (6 Video Tapes)

The Video McLuhan Set ---------------------------------- CAN $ 795.00
GST (7 per cent) ------------------------------------------ CAN $ 55.65
Shipping and Handling ---------------------------------- CAN $ 15.00

TOTAL DUE: --------------------------------------------- CAN $ 865.65 *

* Ontario orders please add 8 percent provincial sales tax ($ 63.60) to the total above.

Partial Set (3 Video Tapes)

(Please check the appropriate set)

___ Tapes 1-3 (with narration by Tom Wolfe)

___ Tapes 4-6 (unedited lectures)

Price per 3-tape set ------------------------------------ CAN $525.00
GST (7 per cent) ---------------------------------------- CAN $ 36.75
Shipping and Handling ----------------------------------- CAN $ 15.00

TOTAL DUE: -----------------------------------------------CAN $576.75 *
* Ontario orders please add 8 percent provincial sales tax ($ 42.00) to the total above.

Please provide us with contact information in case we need to contact you about your order.

Contact name: _________________ E-Mail Address: _________________________
Phone (with area code)________________Fax (with area code)________________

Ship To:

Name:__________________________________
Organization Name: __________________________________
Street Address: ______________________________________________________
City: _________________ Province: __________________ Postal Code: _____________
Special Shipping Instructions:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Send Invoice To:

Name to Appear on Invoice: __________________________________
Department: __________________________________
Organization Name: __________________________________
Street Address __________________________________
City: _________________ Province: _______________ Postal Code: _____________

Method of Payment: (check one)

___ Cheque or money order enclosed (make cheques payable to Video McLuhan)
___ Institutional Purchase Order Number: # _____________________

Orders should be sent to:

Video McLuhan Inc.
73 Sighthill Avenue
Toronto Ontario M4T 2H1

Institutions may fax this order form with purchase order numbers to (416) 484-6825

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