GREY HOUSE PUBLISHING CANADA ORDER FORM
3 - 1500 Upper Middle Road / PO Box 76017 / Oakville, Ontario L6M 3H5
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 A 15% DISCOUNT
Please 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
Total
Subtotal
Shipping: 1 Title: $25 / $5 For Each Additional Title
Shipping
AB, MB, SK, QC, YT, NT, NU, BC, 5% GST
NB, NL, PE, 15%; NS, 14%; 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 Inc.
q Charge credit card q Visa q Master Card q AMEX
Card ________________________________________ Expiry ____________________ CSV ______________________
GREY HOUSE PUBLISHING CANADA | www.greyhouse.ca | (866) 433-4739
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