14 GREY HOUSE PUBLISHING CANADA | www.greyhouse.ca | (866) 433-4739 GREY HOUSE PUBLISHING CANADA ORDER FORM 555 Richmond Street West / Suite 512, PO Box 1207 Toronto, ON M5V 3B1 / Email: info@greyhouse.ca / Toll Free Phone: (866) 433-4739 / Fax: (416) 644-1904 www.greyhouse.ca Date _________________________________________ PO# ________________________________________________ Bill to Organization ______________________________ Ship to Organization ____________________________________ Attention _____________________________________ Attention ____________________________________________ Institution_____________________________________ Institution ___________________________________________ Address ______________________________________ Address_____________________________________________ City _____________ Prov. _____ Postal Code__________ City _____________ Prov. _____ Postal Code________________ Tel: (____) ____________________________________ Fax: (____) __________________________________________ E-mail________________________________________ Special Instructions: ________________________________________________________________________________ _______________________________________________________________________________________________ Hold for P.O. number? q Yes q No / Does the library want processing? q Yes q No ORDER MORE THAN 1 TITLE AND RECEIVE FREE SHIPPING Please note: All U.S. titles are now quoted in U.S. dollars and are subject to an exchange rate posted on our website for Canadian pricing; all orders are subject to applicable taxes. Qty. Title List Price Discount Price Total Subtotal Shipping: 1 Title: $20 / 2+ Titles: FREE Shipping AB, MB, SK, QC, YT, NT, NU, BC, 5% GST NB, NL, NS, PE, 15%; ON, 13% HST All Salem Press & H.W. Wilson titles, 5% GST GST/HST Total PAYMENT OPTIONS q Invoice me q Cheque included, payable to Grey House Publishing Canada q Charge credit card q Visa q Master Card q AMEX Card_________________________________________ Expiry_____________________ CSV ______________________ canada_catalog_2019.indd 17 2/7/19 1:16 PM