ORDERFORM
Name:
Address:
City:
Province:
Postal Code:
Phone:
Fax:
Email Address:
Payment Method: Cheque or Money Order
C.O.D.
Credit Card: Visa Mastercard American Express
Name on Card:
Cedit Card Number:
Expiry Date:
Signature:
Amount of Order:
Place your Order: After filling out this order form, print out and fax to Billingsgate:

Calgary 403-571-7717
Edmonton 780-439-0099
St. Albert 780-418-7753

or call us at:

Calgary 403-269-3474 - Toll Free Canada 1-800-332-1095
Edmonton 780-433-0091 - Toll Free Canada 1-800-465-6659
St. Albert 780-460-2222
Description Quantity Unit Price Total Price
       
       
       
       
       
       
       
       
       
GST
  
Total
  

© 2002 Billingsgate Fish Co. Limited