MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01CB5C9D.3FA5EA50" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01CB5C9D.3FA5EA50 Content-Location: file:///C:/2684CAAD/CopyofHMCSKootenay2010orderform.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" School of Emergency Health Services of Nova Scotia= =20 Ring Order Form

 

 

 

 

 

 

 

 

 

HMCS Kootenay Insignia= Items 2010 Order Form

 

 

Date: ______________  Name:____________________________

Mailing Address: _____________________________________________________________=

Telephone Number: _______________________

Finger size: _________

Quality of ring: sterling silver        =   , 10k white gold        =      or 10k yellow gold

Quality of pendant: sterling silver        =   , 10k white gold        =      or 10k yellow gold

 

Cost of item(s) selected: $___________ + shipping ($10.00 Maritimes, $20.00 Onta= rio and Quebec, $25.00 West) + HST (15% Nova Scotia, 13% NB, NFLD and Ontario, = 12% BC, 5% PEI, Quebec, Manitoba, Sask. and Alberta)  =3D $__________ 

Note: To avoid a shipping charge, you can request that we send your order to a Ch= arm store near you for pick-up. For a complete list of Charm stores across Canada,= please visit our website: www.charm= diamondcentres.com

Choice of Charm store to send your order: ________________________________________= ___________________________________________________________________________= _______

Deposit: cheque ­_____ or money order ____  Amount =3D $___________

(* a minimum of 50% must be provided as a deposit) or you can supply your=

Credit card information: Visa _______.Mastercard _______  American Express _______

Name on Credit Card: _________________________________________=

Card  number: ________________________________ 

Expiry date: ____/____

 

Once your ring is ready you will be contacted so you can supply payment on the balance owing (if applicable).

 

For further information please contact: Corporate Offi= ce, Charm Diamond Centres, 140 Portland Street, Dartmouth,= N.S. B2Y-1J1 or contact at CORPORATE@CHARMDIAMONDCENT= RES.COM or call

1-902-463-7177 ext. 131

------=_NextPart_01CB5C9D.3FA5EA50 Content-Location: file:///C:/2684CAAD/CopyofHMCSKootenay2010orderform_files/image001.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlhKAAVAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAEAAQAn ABQAgQAAAAAAAP///wECAwI3jI+pyygPo5y0CmOzpnh73X3iFI7mFZxqqX5su71wJs9VbZNpHu88 7fvdgkJd0YIrJoWNprNZAAA7 ------=_NextPart_01CB5C9D.3FA5EA50 Content-Location: file:///C:/2684CAAD/CopyofHMCSKootenay2010orderform_files/image002.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlhKQAVAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAEAAQAn ABQAgQAAAAAAAP///wECAwI3jI+pyygPo5y0CmOzpnh73X3iFI7mFZxqqX5su71wJs9VbZNpHu88 7fvdgkJd0YIrJoWNprNZAAA7 ------=_NextPart_01CB5C9D.3FA5EA50 Content-Location: file:///C:/2684CAAD/CopyofHMCSKootenay2010orderform_files/image003.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlhKAAVAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAAAAQAo ABQAgQAAAAAAAP///wECAwI5jI+pyykPo5y0PmOzrnj73X0iFY7mFZyqUK5f64JpLMK0Zd/krGt5 H/kBUcOMcHgEJnsBQOMJbRQAADs= ------=_NextPart_01CB5C9D.3FA5EA50 Content-Location: file:///C:/2684CAAD/CopyofHMCSKootenay2010orderform_files/filelist.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01CB5C9D.3FA5EA50--