Links For Canada Click Below
Display Machine Printable
Order Form For USA
Customers.
(Prices in US Dollars)
156 Enfield Place, Unit 1605, Mississauga, ON L5B 4L8
Tel: 905.270.6459 Fax: 905.858.6840 Back To Top
DISPLAY MACHINES:
machines @ $ each = $
Specify coin mechanism requirements for your machines here:....................................................................................
SHIPPING COSTS: (please email us for shipping quote) = $
EXTRA MACHINE PARTS: (Shipping Included)
Extra $1 coin
kits for mechanism @ $20each = $
Extra 25¢ coin
kits for mechanism @ $20each = $
Coin mechanisms for two $1 coins @ $60each = $
Coin mechanisms for three $1 coins @ $67each = $
Coin mechanisms for four $1 coins @ $72each = $
Coin mechanisms for four 25¢ coins @ $67each = $
Coin mechanisms for five 25¢ coins @ $72each = $
Coin mechanisms for six 25¢ coins @ $77each = $
PRICES SUBJECT
TO CHANGE WITHOUT NOTICE Total
Payment = $
Mail form with a cheque
or payment by wire transfer or Western Union Money Transfer.
Check / money order attached Yes
Your Shipping Address
Name:
Phone #
Address:
Postal Code:
Signature: Date:
Copyright © 2003 Quality Condoms Vending Ltd. Last modified: 23-Oct-2005