calling card order information

Ordered by:
Phone:
Fax:

Method of payment: Chq Visa M/C
#:
P.O.#:
Exp. month:
Exp. year:
If you don't know our price list please contact us at 819 777-7960

Delivery address:
Invoicing address:

Type of cards:
F1 ? F2 ? F3 ? F4 ? A1 ? A2 ? A3 ? A4 ?
English left French left

Quantity:
200 500 1000
Braille
Recycle Logo

French side:
Ministère:
Nom:
Titre:
Direction / Bureau:
Adresse:
Pièce:
Téléphone: Poste
Cellulaire:
B.B.:
Télécopieur:
Courriel:
Site web:

English side:
Departement:
Name:
Title:
Direction / Bureau:
Address:
Room:
Telephone: Ext.
Cellular:
B.B.:
Fax:
E-mail:
Web Site:

Other specifications :
© Imprimerie Vincent 2010