usa.multiculturalcalendar.com

Special Electronic Order Form

Please submit the Secure Order form online or print &
Order Form

Date of order:

Name:

Department:

Title:

Company:

Shipping Address

City/Province/Postal Code

E-mail:

Phone:

Fax:

Billing Address
(Same as on Credit Card)

City/Prov/Postal Code

Purchase Order # Personal orders prepaid by check Invoice Company

Credit card type Visa Mastercard Amex

Credit card #

Expiration date:

Name on credit card:

3 digit code

Wall Calendar (Available Oct.1)	Qty:		Price:..	Total:
Desktop (English)	Qty:		Price:..	Total:
Desktop (Bilingual English/French)	Qty:		Price:..	Total:
Yearly Planners	Qty:		Price:..	Total:
Electronic Calendar (English/French/Spanish)	Qty:		Price:..	Total:
Number of Employees:
Subscription for which year/years
English	yes	no
French	yes	no
Spanish	yes	no
Microsoft Outlook	yes	no
Sharepoint	yes	no
PDF	yes	no
Customize with logo and diversity message $200)	yes	no
Super Customize with pictures, background colours and logo $500	yes	no
Add Company Dates	yes	no
Regular Calendar (no logo)	yes	no
	Shipping & Handling (refer chart):
	No tax:
	Subtotal:
	Total payable

Special instructions: In the box write pricing quoted, 1 or 3 yr subscription, number of paper calendars being added

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