Fax or Mail Order-Quotation Form

    Fax:  Print this form and fax it to: 1 (801) 760-1468
    Mail:  Send to 4921, 2nd Line Road, North Lancaster, Ontario, Canada, K0C 1Z0
    e-mail Submit this form to us by clicking at the bottom or e-mail to look@sponges.com
    Product Support: 1 (888) SPO-NGES or 1 (888) 776-6437

Terms & Conditions
Payment must be received at the address above before shipping. NO COD.
ALL CREDIT CARD ORDERS ...You must print out the completed form BEFORE e-mail this form & the signed printout to be mailed to our HO You must also enclose hand written authorisation to charge
your account prior to order processing and shipping

Shipping Information
Unless otherwise indicated and arranged by you all shipping is done by US or CDN Postal service and the charges added to the invoice at cost..


Order Form

Item Code

Description

Price

Qty

Total

 

 

 

Subtotal

 

 

 

 Tax  

 

 

 

Total 



Shipping Address

Name 

Address 

City 

  Prov/State 

Country 

   Zip 

E-mail 

 

 


Billing Address
 Check if same as shipping address

Name 

Address 

City 

  Prov/State 

Country 

   Zip 

E-mail 


Billing Information

Credit Card 

Cardholder Name 

Card Number 

  

Expiration 

   

Signature Sample



             

           

 

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Quote Form