O’Shea’s Market Ireland – Canadian Order Form

Canadian Order Form

Ordering Instructions:
To Order by fax or by mail, please print out and complete this order form, include all pertinent order information and payment option.

By FAX

Fax to our 24 hour fax order line at 1-613-594-0122

By Mail

Mail to :
O'Shea's Market Ireland Ltd.
Internet Order Department
91 Sparks Street
Ottawa, Ontario, Canada, K1P 5A5

Shipping Information:

	Ship To:	Sold To: (Same as Ship to (__))
Name
Address
City
Prov/Postal Code
Phone	Day : (___-___-____) Evenings (___-___-____)	Day : (___-___-____) Evenings (___-___-____)

Catalogue #	Qty	Item Description	Size	Color/Pattern	Price








		Total Order
		Provincial Sales Taxes (See Shipping information)
		GST (See Shipping information)
		Shipping and handling (see Shipping information )
		Amount Due :

Payment Option:

(__) MasterCard

(__) VISA

(__) AMEX

(__) Bank Draft

Card Number

Expiry Date

(____/____)

Signature