BLUE MOON TRADING CO. ORDER FORM

Mail to: 2 Bloor St. W. Ste 100-111, Toronto, ON M4W 3E2 fax: (416) 461-0653
Warehouse: 388 Carlaw Ave Unit W-11, Toronto, ON M4M 2T4
Phone (416) 461-9892
Outside Toronto Area: 1-888-318-BLUE (1-888-318-2583)
Website: http://www.bluemoonwholesale.com

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Credit Card Card type:

Card number:

On Account Account #:

C.O.D.

Tax Exempt Exemption #:

Order/requisition number:

Will you accept substitutions?

Will you accept backorders?

Date Ordered:

Payment Policy: C.O.D. or approved accounts 30 days postdated cheque on delivery

Item No. Description Qty. Unit Cost Total Amount

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Ordered by

Approved by Sub total:

Shippping charges:

Tax (6%):

Total Due:

ORDERS CAN BE FAXED to (416) 461-0653 or mailed to: 2 Bloor Street West Suite 100-111 Toronto ON Canada M4W 3E2 or placed by telephone: (416) 461-9892 - Outside Toronto Area toll-free 1-800-535-BLUE
METHOD OF PAYMENT
Cheque, cash, VISA or MasterCard. All accounts C.O.D. unless credit terms established. NSF cheque charge $25.00. Interest on accounts overdue over 30 days 2.0% per month.
MINIMUM ORDER Opening order $250 minimum. However, if you order one of our Wholesale Intro Packs there is no minimum order size for any additional items you may want to order! Re-orders under $150 carry handling fee of $5.00.