HMP® Electronic Order Form last updated October 18, 2011

Back to previous page
If you are a regular customer, it is not neccessary to fill in all the details. But your name and home phone number are required! Fill in your name, contact tell number and type in one of the boxes "information on file". Same goes for the credit card info, if you have used your credit card with us before, simpley type in the comments "credit card on file" You also might want to tell us to ship to home or work (if we have both on file)

Sold To:

Name:

(IF ABOVE IS A COMPANY) Attention :

Have you had a catalog from us before? Yes or No

Would you like a 2011/12 paper catalogue or cd sent with your order? catalog cd

Have you ordered from us before? Yes or No

Address:
City:
Province:
Postal Code:
Country:
E-Mail Address:
Telephone Number: Area code blNumber ib -
Fax Number*: b---l Area code bl Number b -
Business Number: --Area code bl Number bl-

Type of Boat: sibl- Length: s ible Li-Sail: e Li- Power:

Ship To:

Name:
Address:
City:
Province:
Postal Code:
Country:

-tem 1:
Item 1:

Item 2:

Item 3:

Item 4:

Item 5:

Item 6:

Item 7:

Item 8:

Item 9:

>Any further comments, instructions or information type in box below.

......Comment Box

....... ....- ................................- ---Order Total:

Credit Card #: i---..............-**Shipping Charges: - ... (see below)

sec. code on back of card- -i Expiry Date: i---..---Sub Total:

-- .................. ............................................................................................Total

...............................(Out of country orders stop here, no further canadian taxes charged by us!)

-------------- ...................................

.. .... .............Residents of Canada add 13%HST if applicable On Total:

ii.------------------This Is An Invisible...... Line---------------.------.i Final Total:

------------------------------------------------All Prices In Canadian Dollars

Holland Marine Products® (HMP®)

**: Delivery Charges (In Canada) - For parcels up to 70Lbs. and under 5' in length, delivery charge flat rate anywhere in Canada is $16.00, items 5' to 7' are $24.00, items 7' to 12' $42.00, items over 12' are shipped freight collect. For parcels over 70Lbs, we will add $.60 per Lb. US Customers, shipping via mail $20.00 up to 6 lbs. (Outside Canada, request quote in comment box above, it's really quite reasonable!)

ALL PRICES ON OUR WEBSITE ARE IN CANADIAN DOLLARS

***: Or 13% HST where applicable. OUTSIDE CANADA Customers are not charged canadian taxes.

E.&O.E.......We will Email you a confirmation of your order.

Back to previous page