PROMO CAP / BUMP CAP INSERT ORDER FORM
FRONT BACK Bump Cap Insert
Yes, please ship me:
Description Quantity Unit Price** Sub-Total
Red Cap $20.00
Black Cap $20.00
Bump Cap Insert $5.00
Name ________________________________________________________________________ Company:_____________________________________________________________________ Address:______________________________________________________________________ City: __________________ Prov. ______________ Postal Code: _____________________ Tel.: _________________________________ Fax.: ______________________________
Payment Method (Check one): Visa Master Card American Express
Cardholder Name: ______________________________________________________________________
Credit Card Number: __________________________________ 3 Digit CVV Code_____________
Expiry Date: ______/_______ Cardholder Signature ________________________________________
(Your Printed Name will be regarded as your Signature)
**applicable provincial tax and shipping charges will be added Canadian Fire Alarm Association, 85 Citizen Court, Units 3 & 4, Markham, Ontario L6G 1A8 Tel 905-944-0030 for GTA local, or toll free 1-800-529-0552 Fax: 905-479-3639 Email: [email protected]
Canadian Fire Alarm Association
Association Canadienne d’Alarme Incendie
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