Order Form Order Date Type of Customer Walk In Phone Order Email Order Business Name Your Full Name Your Cell Number Your Email Billing Address Delivery Required? Yes No Other Delivery Address: Is Cutting Required? Yes No - Buying Full Sheets Other? CUTTING REQUIRED: Please write your complete order details Name of Product Thickness, Sizes to be Cut. # of pieces for each size. Price Quoted FULL SHEETS: Please write your complete order details Name of Product Thickness, Size , Quantity Price quoted Payment Method Visa / Master Card E-Transfer Other CC # Please enter Card Number Expiration Date CVV Name on Card Signature [signature* signature] Email Address for E-Transfer accounts@canada-plastics.com Pickup Date
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