1) FAX: the Order Form with Credit Card info to (905)775-9874
2) For customers with accounts, E-MAIL with the complete Order information
3) CALL: (800)250-5111 in Canada. Outside Canada, (905)775-4652, and order by Credit Card
4) MAIL: Print a copy of the ORDER FORM below and send it with your
Check, Money Order or Credit Card information to:
Dent-Line of Canada Inc.
R.R. # 2 Bradford, Ontario,
Canada, L3Z 2A5
Company Name (if applicable): | |
Contact Person: | |
Phone Number: | |
Fax Number: | |
E-mail Address: | |
Below please enter Cardholder’s Billing Address exactly as shown on Credit Card Statement. |
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Cardholder’s Name as on card: | |
Street Address: | |
City: | |
Province or State: | |
Country: | |
Postal Code or Zip Code: |
Each $3.99
1 dozen ONLY $46.95 receive one tooth brush free – $3.99 value!
SHIPPING CHARGE PER ORDER $6.00 for inside Canada and U.S.A.
PST – 8% in Ontario
GST – 7%, except New Brunswick, Nova Scotia & Newfoundland
GST – 15% for New Brunswick, Nova Scotia & Newfoundland only
Card Holder Name | |
Card Number (No spaces) | |
Expiration Date (i.e. 12/99) |
Dent-Line of Canada
R.R. # 2 Bradford,
Ontario, Canada, L3Z 2A5
1-800-859-7589 or 1-905-775-4698