Charles Ward Insurance 
& Financial Services Ltd.
 ORDER YOUR PERSONAL ORGANIZER TO-DAY!
 
 


ORDER FORM

PERSONAL INFORMATION                                   
                                                                                                                                              
Name:                   *                            
Street Address:   * 
                                 
City/Town/Village:*
Province:               *
Postal Code:    *  
Home Phone:         
Work Phone:      
E-Mail:    

 * required

ORDER INFORMATION
Set(s) Engraved Organizer Binders  (1 set includes 2 binders & CD-ROM)
                 Name on Binders: 
                                               : 

Set(s) Engraved Organizer Binders @$200.00 each =                     

                                                                                                               Total  : 


(Includes PST/HST & GST plus postage and handling.  Allow 3-4 weeks for delivery.) 

 
METHOD OF PAYMENT            
Cheque:                                                                                      
                    Make cheque payable and mail to:
                    Charles Ward Insurance & Financial Services Ltd.
                    256509 Sunova Crescent
                    Lakeside, Ontario
                    N0M 2G0
Credit Card:                                                                                
                   Note:  For security purposes, we will telephone you for card details.
Special Instalment Plan:                                                         
                   Each set of Organizer payable in 4 installments of $55.00 each upon date of order, then 30 days, 60 days and 90 days.  Organizer delivered after receipt of 4th installment.


    


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