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

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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.