Contact and delivery information (please use more rows if you assume more options)

Contact person's name

Contact person's email address

Contact Person's Phone

days and times for contact

delivery or mailing address

Contact person for delivery (if different)

Delivery place Tel. (if different)

preferred delivery days and times

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Order list made on (date)________________ P/O #__________

DP Code

item(show prices)

quantity

unit price

amount

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subtotal:

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GST:

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PST:

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TOTAL:

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Store location: Fantastic Flea Market (Dixie Mall) booth # 60 Red Room, 1250 South Service Roud, Mississauga. We are open Saturday and Sunday 10 AM till 5 PM. Mailing Address: Half Price Batteries; 503 - 1011 Lansdowne Ave; Toronto, ON, M6H 4G1; Tel/Fax: 416-532-1096; Email: sales@halfpricebatteries.com, Customer Service hours: 24 hours a day, 7 days a week. HALFpriceBATTERIES.com(TM)

Thank you for your order!