|
Heritage Canada Boutique
Share
your pride in being a member of the Heritage Canada Foundation with
our fine, Canadian-made emblem jewellery. Our cufflinks and pendants
are available in either plain or enamelled finish. Lapel pins are
available in enamelled finish only.
| |
Quantity
|
Cost
|
Total
|
 |
10kt
Cufflinks with
gold-filled actions |
______
|
$237.50
|
$__________
|
 |
Gold-filled
Cufflinks
(burgundy) |
______
|
$237.50
|
$__________
|
 |
10kt
Pendant with
10kt chain |
______
|
$283.50
|
$__________
|
 |
Gold-filled
Pendant
(burgundy) |
______
|
$99.50
|
$__________
|
 |
Lapel
Pin |
______ |
$5
|
$__________
|
| 
|
Koskin
Bag |
______ |
$25
|
$__________
|
| 
|
Baseball
cap with embroidered Heritage Canada Logo
(available in black, navy blue and white) |
______ |
$17.35 |
$__________
|
| |
Shipping
and Handling
(Heritage Canada members receive complimentary shipping and
handling) |
$5
|
$_______
|
Canadian
residents
(excl. N.B., N.S., Nfld.) add 7% GST |
|
|
$_______
|
| Ontario
residents add 8% PST |
$_______
|
| N.B.,
N.S., Nfld. residents add 15% HST |
$_______
|
| |
|
TOTAL
|
$_______
|
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| Name:_______________________
|
|
| Membership Number:___________
|
|
| Address:_____________________
|
|
| City:_________________________
|
|
| Province:________
|
Postal
Code:_______ |
|
| Method
of Payment: |
|
|
|
| Visa
|
MasterCard
|
Cheque
|
|
| Card
Number:____ |
|
Expiry
Date:______ |
|
| Signature:_____________
|
|
| Print
Name:____________ |
|
Please
make your cheque payable to the Heritage Canada Foundation
Print
this form and mail or fax to:
Mail:
Heritage Canada Foundation
5 Blackburn Avenue, Ottawa, ON K1N 8A2
Fax: (613) 237-5987
or
you may fill out our on-line
form
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