Legs Plus & Bra Boutique - Fax Order Form
Print this order form if you would like to fax or mail your order, or you may proceed to our secure online ordering system.
Cat# Description Size Colour Quantity Unit Price Total Price
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Shipping & Handling ___________
| Shipping & Handling | 1 - 3 Items | 4 - 6 Items | 7 - 10 Items |
| Ontario & Quebec | $8.00 | $10.00 | $12.00 |
| Other Canadian Provinces | $10.00 | $12.00 | $14.00 |
| U.S. | $22.00 | $24.00 | $26.00 |
| Over 10 items: contact us. Click for more information. All prices in Canadian dollars. | |||
U.S. destinations: Duty & taxes may be extra and will be billed to you separately by the customs
broker clearing the package. You are responsible for this charge whether or not you accept the order. If you
refuse the order we have the right to charge your credit card for the amounts incurred by Customs for processing
and clearing your package.
International destinations: Charges will vary from country to country and may be adjusted accordingly. Contact us.
International destinations: Charges will vary from country to country and may be adjusted accordingly. Contact us.
PST (Ontario only, add 8%) ___________ GST (British Columbia, Manitoba, Quebec, Saskatchewan, Alberta, Ontario, ___________ PEI, add 5%) HST (Newfoundland, Labrador, Nova Scotia, New Brunswick, add 13%) ___________ Total Order _____________
PRICES ARE SUBJECT TO CHANGE WITHOUT NOTIFICATION
All prices are in Canadian dollars.
For US customers, the total amount in US Dollars will be determined by your credit card provider based on their current rate of exchange.
For International customers, the total amount in your local currency will be determined by your credit card provider based on their current rate of exchange.
Customer Information:
Name___________________________________Phone:______________Fax:_________________
Street:___________________________________Apt #:_________E-Mail:_____________________
City:______________________Prov/State:___________________Postal Code/Zip Code:___________
Country:___________________
Billing:
Credit Cards Accepted: Mastercard:____ Visa:____ Money Order:___ Cheque: ____
Card Holder Name:_________________________________ Issuing Bank:__________________
Credit Card Number:_______________________________ Expiry Date:____________________
Card Verification Number:________ (3 digit number on back of card by the signiture panel)
Card Holder Signature:______________________________ Amount: ________________________
Please let us know how you found our web boutique:
Questions and Comments:
Please send your order and payment to:
Legs Plus Inc.& Bra Boutique
5867 Leslie St.
Toronto, Ontario
M2H 1J8
Canada
Fax: 416-497-2361
E-Mail: shop@braboutique.com
Information Hotline/Order Desk: 416-497-2350
