plaisir - Mondial de la bière

Mondial de la Bière, 2236, Beaubien Street East, Montréal, (Québec) Canada H2G 1M7 • Telephone: 514-722-9640 • Fax: 514-722-8467 • Email: [email protected]
Order Form Mondial de la Bière
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15 th edition
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LA
May 28 to June 1 2008
Price
$38
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Pa
PLAISIR
per package deal, taxes included*
Included are:
1 T-shirt at $18
10 Coupons at $1 each
1 Beer tasting guide at $2
1 Tasting mug at $8
1 Beer Trek map of Québec 2008 at $5
and the Mondial’s official program 2008
TOTAL of package deal (s) :
Avoid lineups and save.
The PREPAYMENT PLAN
for beer lovers
X $38.00
A value of $43
Rebate of $5
$
TOTAL order:
Offer valid until May 23, 2008
Fill in the following form and FAX to:
Mondial de la Bière: 514-722-8467
I, THE UNDERSIGNED, AUTHORIZE MONDIAL DE LA BIÈRE TO DEBIT MY CREDIT CARD:
Payment:
VISA
Check Box
MASTER CARD
AMERICAN EXPRESS
CARD NUMBER:
By check
EXPIRATION DATE:
(Make to the order of Mondial de la bière)
NAME (PLEASE PRINT):
Please send your
check and payment
authorization form by
mail to:
SIGNATURE:
DATE:
ESTABLISHMENT:
Mondial de la Bière,
2236, Beaubien Street East,
Montréal (Quebec)
Canada
H2G 1M7
ADDRESS:
CITY:
COUNTRY:
POSTAL CODE/ZIP CODE:
Check Box
TEL.:
IMPORTANT:
By credit card
Your confirmation will be received by fax or email.
Fax:
Email:
* The prepayment plan is only exchangeable between May 28 and June 1, 2008 - The prepayment plan is non-refundable. - You must take possession of the value of the prepayment
plan before 6h30 p.m., on June 1, 2008 . - The prepayment plan will be nul and void starting
at 6h30 p.m. on June 1, 2008 . - Offer valid until stock depletion.