b'GREY HOUSE PUBLISHING CANADA ORDER FORM3 - 1500 Upper Middle Road / PO Box 76017 / Oakville, Ontario L6M 3H5Email: info@greyhouse.ca / Toll Free Phone: (866) 433-4739 / Fax: (416) 644-1904www.greyhouse.caDate________________________________________ PO#_______________________________________________Bill to Organization _____________________________ Ship to Organization___________________________________Attention ____________________________________ Attention ___________________________________________Institution____________________________________ Institution __________________________________________Address_____________________________________ Address ____________________________________________GREY HOUSE PUBLISHING CANADA | www.greyhouse.ca | (866) 433-4739City _____________ 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 NoORDER MORE THAN 1 TITLE AND RECEIVE A 15% DISCOUNTPlease note: All Salem Press, H.W. Wilson and other U.S. titles are 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 TotalSubtotalShipping: 1 Title: $20 / $5 For Each Additional Title ShippingAB, MB, SK, QC, YT, NT, NU, BC, 5% GST GST/HSTNB, NL, NS, PE, 15%; ON, 13% HST TotalAll Salem Press & H.W. Wilson titles, 5% GSTPAYMENT OPTIONSq Invoice me q Cheque included, payable to Grey House Publishing Canada Inc.q Charge credit card q Visa q Master Card q AMEXCard ________________________________________ Expiry ____________________ CSV ______________________14'