| REC-MAP CUSTOMER ORDER FORM | ||||||
| MAP NAME | PRICE | QTY | TOTAL | |||
| Ontario Treaty | $75.00 | |||||
| Arctic Headwater Canoe | $16.95 | |||||
| Chapleau North | $14.95 | |||||
| Chapleau Central | $14.95 | |||||
| Chapleau South | $14.95 | |||||
| Chapleau Area | $29.95 | |||||
| Chapleau River | $14.95 | |||||
| Sideburned Lake | $14.95 | |||||
| Highbrush Lake | $14.95 | |||||
| Missinaibi Lake | $19.95 | |||||
| Wawa Lake | $14.95 | |||||
| Kenogamissi Lake | $14.95 | |||||
| Ivanhoe Lake | $14.95 | |||||
| Wakami Lake | $14.95 | |||||
| Como Lake | $14.95 | |||||
| Loon (Borden) Lake | $14.95 | |||||
| Nagasin Lake | $14.95 | |||||
| Kamaniskeg Lake | $14.95 | |||||
Sub Total
|
$____________ | |||||
| Name:___________________________________ | ||||||
| Address:_________________________________ | GST 6% | $____________ | ||||
| ________________________________________ | PST 8% | $____________ | ||||
| ________________________________________ | Shipping | $____________ | ||||
| ________________________________________ | Total | $____________ | ||||
| Telephone: | Please mail or fax order to | |||||
| 705.864.0990 | ||||||
| Method of Payment | Terms: | |||||
| Visa Mastercard Cheque | $5.00 shipping fee for all orders shipped | |||||
| □ □ □ | Payment in full upon receipt of order | |||||
| Please make payment to CREE-TECH INC. | ||||||
| Card Holder Name: | ||||||
| ____________________________ | ||||||
| Card # | REC-MAPS / CREE-TECH | |||||
| ____________________________ | PO Box 1528, 21 Cachagee Rd. | |||||
| Expiry Date | Fox Lake Reserve, Chapleau, Ontario, P0M 1K0 | |||||
| ____________________________ | Tel: 705.864.1777 creetech.com | |||||