Hamwic House

Printer Friendly Mail In Order Form

Please complete this form, right in your browser, and then press your browser command "print".

Due to the one of a kind nature of our items, customers ordering by mail are advised to phone our shop to reserve their items.

519-846-0695

Your full name:
Shipping Address Line One:
Shipping Address Line Two:
City:
Postal or Zip Code:
Country:
I am paying by:
Visa Card
Cheque
Money Order
If paying by Visa credit card, please complete the following, otherwise, leave blank:
Visa Card Number:
Expiry Date: MM/YY
Name on Card:
Is your home/billing address the same as your shipping address?

Check One: yes no

If no, please fill out your home/billing address below, otherwise, leave blank.

Billing address:

(If your credit card billing address is different than shipping address)

City:
Postal or Zip Code:
Country:

The Items You Would Like to Order

Item Number
Description
Price
Shipping and Handling $10.00
Ontario residents add 8% P.S.T.
Canadian residents add 7% G.S.T.

Total

Mail Your Form To:

HAMWIC HOUSE

61 Metcalfe St.

Elora, Ontario

CANADA

N0B 1S0