Placing an Order
If you would like to place an order with ROM Reproductions you may call us at 416.586.5896 (please have your credit card handy), or fill in the following form.
First view the printable version of this form, then fill it out in your browser window and print it. The form may be mailed (see our address below) or faxed to us at 416.586.8075. This form cannot be submitted online.
100 Queen's Park
Toronto, Ontario, Canada
M5S 2C6
Tel: 416.586.5896
Fax: 416.586.8075
E-mail: romrepro@rom.on.ca
Contact Information
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| Are you a ROM member? | YesNo |
| If Yes, Membership # | (Members receive a 10% discount) |
*All merchandise is subject to 6% GST (Canada Only) & 8% PST (Ontario Only)
Requested Merchandise
| Item # | Description | Quantity | Price | Total Cost |
| Merchandise Total | ||||
| Minus 10% Member Discount | ||||
| Merchandise Subtotal |
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| Shipping and Handling Charge | ||||
| Subtotal |
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| * GST 6% of Subtotal | ||||
| * PST 8% of Subtotal |
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| *Shipping charge will be quoted at the time of the order. *All merchandise is subject to 6% GST (Canada Only) and 8% PST (Ontario Only) |
TOTAL | |||
Method of Payment (Sorry, no cash, cheques or COD)
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Money order enclosed Visa Mastercard Amex |
Credit Card Number | |
| Expiry Date | ||
| Signature |
Gift Item
| Item # | |
| Message on Card | (20 words or less): |
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| Phone Number of Recipient |
Gift Item
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| Message on Card | (20 words or less): |
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| Province/State | |
| Postal/Zip Code | |
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| Phone Number of Recipient |
For Office Use Only
| Date order received | |
| Order Received by |
