ORDER FORM
Mail to:
JR SPORTS
188 Dalgliesh Drive
Regina SK, Canada S4R 7Y9
Phone: (306) 545-9295 E-mail: jrsports@sasktel.net
Date:_______________________

Day Phone:____________________
Name:_________________________
Address:________________________
Route#:__________ Box#:__________		 Alt Phone:_____________________

E-mail:________________________
City:_________________ Prov/State:___________________ P.C./Zip:________________
NOTE: PRINT FOR SELF-USE IF ORDERING OVER THE INTERNET.
JUST SEND US THE DETAILS OF THE COLUMNS AS LAID OUT BELOW. 
Leave
Blank		 Qty. Unit Stock
Number		 Description Color Unit
Price		 Total
Price
Orders are payable by PayPal, personal or company cheque, certified cheque or international money-order. Please allow time for cheques to clear. We do not ship C.O.D.
SUB-TOTAL
SHIPPING
P.S.T. (5%)*
G.S.T. (5%)**
TOTAL AMOUNT
 
 
 
 
 
AUTHORIZED SIGNATURE: __________________  
G.S.T. AND P.S.T. IS PAYABLE ON SUB-TOTAL AND SHIPPING (SEE BELOW).
SHIPPING MAY BE SUBJECT TO A SURCHARGE FOR LENGTH (ie: RODS) AND WEIGHT (ie: LEAD ).
*P.S.T. PAYABLE ON ALL ORDERS SHIPPED WITHIN SASKATCHEWAN ONLY.
**G.S.T. PAYABLE ON ALL ORDERS SHIPPED WITHIN CANADIAN ONLY.