DEAR _______________________ (example John, or Reg)
I hearby authorize Ogilvie's Planing Mill ltd. operating as Hoffmeyer's to charge my credit card:
Total invoice amount of $_______________________ Canadian dollars (as per your quote)
50% of the above total to be taken upon our receipt of this note as your deposit, with the balance due at time of completion.
CARD # ____________________________________________
Please check only one of VISA __ Mastercard__ Expiry Date (mm/yy) __________V code (last three digits on the back of the card)___________
Name as it appears on card :
____________________________________________________ please print clearly
HOME telephone number _____________________________________
* SSN #____________________________________
Please promptly fax this form to us at 519-393-5109 to get your order placed.
You can print this form and fax or scan a completed signed form and email to: email@example.com
* required from American customers by our broker to clear US customs on all orders over $1000. EIN/IRS/VAT number required if billing to a business- call if any questions.