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6A2 Tel: 416.231.2600 or 1.800.268.2598 • Fax: 416.232.0775 • www.ucda.org 32639 CITY VISA MASTERCARD CREDIT CARD INFORMATION EXPIRY DATE CARD # NAME ON CARD Signature FAX # Buying Dealer TEL #: FAX. #: PROVINCE: GST#: POSTAL CODE: 85.00 45.00 30.00 $ $ $ $ Grand Total $ $ SubTotal Add 13% HST $ SHIPPING ... All Orders 500 200 100 NON-IMPRINTED ONE TIME SET-UP COST (Not payable on subsequent orders) $ $ 120.00 500 80.00 60.00 $ $ 250 125 IMPRINTED 1.
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