Order Form

Print this form, complete your order, and mail or fax along with payment. You can also submit an order by e-mail, using our electronic form.

By phone
613-526-9397. Use your VISA or MasterCard. 

By mail
Send a cheque or money order, along with your completed order form to:
Canadian Paediatric Society
2305 St. Laurent Blvd.
Ottawa, Ont. K1G 4J8

By fax
Print off this form and fax it, including your VISA or MasterCard number, to
613-526-3332

Cheque (payable to the Canadian Paediatric Society)
MasterCard                    VISA

Card number                                                   Expiry date

Authorized signature

First name                                                 Surname

Organization

Address

City                                 Province          Postal Code

(Telephone)                                            (Fax)

*Shipping and handling:
Minimum $7.00, 15% of merchandise total. Contact us for delivery rates outside of Canada.

Copyright © Canadian Paediatric Society, 1999-2008