1. No category

SALES ORDER
Standard Laser Cheques
† Please send this completed form by email to [email protected] or by fax to (450) 933-3791.
Information appearing on the cheque
 Use contact information on voided check
City :
Company :
Province :
Address :
Postal code :
Phone :
Cheque position

Top
Quantity

Middle

Bottom
Price

250
135 $

500
171 $

1 000
251 $

2 000
396 $
Sub-total :
Shipping fees :
- included -
GST/TSH :
QST :
Next cheque number* :
Total :
 Join a voided cheque for the account number
Sales Order Information
Name :
Email :
 Use information of the voided cheque.
City :
Company :
Province :
Address :
Postal code :
Phone :
Payment method
 Cheque (made payable to Innovations Nubis)
 MasterCard
 Visa
I authorize Innovations Nubis Inc. to debit the
amount of the order, including taxes, to my
credit card as stated beside.
VISA or MasterCard credit card number
Expiration date
Cardholder Name
* If no number is entered, cheques start at 1001.
** Within 3 to 5 working days after receipt of payment.
Date
Thank you for your order!
INNOVATIONS NUBIS INC.
1695, Laval bvd, Suite 101, Laval (Quebec) H7S 2M2
Phone: (514) 868-2224 1-(877)-460-2224
Fax: (450) 933-3791 Internet: nubis.ca
Authorized signature
(for credit card)
Authorized signature