Formulaire de réservation

Mondial de la Bière, 2236, rue Beaubien Est, Montréal, (Québec) Canada H2G 1M7 • Téléphone : 514-722-9640 • Télécopieur : 514-722-8467 • Courriel : [email protected]
Formulaire de réservation Mondial de la Bière
Take advantage of our special offer!
T h e B e e r T re k Ma p s PRICE p e r PA CKA G E Q u a n tity PACKAGE DEAL DISCOVERY(1) $ 3 5 . 0 0 x
=
$
$ 1 0 . 0 0 x
=
$
$4.00 x
=
$
$4.00 x
=
$
$ 4 .0 0 x = $
$ 4 .0 0 x = $
$ 4 .0 0 x =
$
$2.95 x
= $
$2.95 x
= $
$2.95 x
= $
$2.95 x
= $
R m ake your choice am ong our products by ITEM (1) : O
PRICE p e r IT E M Q u a n tity
Québec (B ilin g u a l) 2 0 1 6 , 1 3 th e d itio n
California $35
(E n g lis h ) 2 0 0 6
Colorado Taxes included
(E n g lis h ) 2 0 0 6
Delaware, New Jersey, New York 10 Beer Trek Maps
Includes
(E n g lis h ) 2 0 0 6
Illinois, Michigan, Wisconsin (E n g lis h ) 2 0 0 6
9 US and Canadian maps
in English
Manitoba, Ontario, Saskatchewan
and
(E n g lis h ) 2 0 0 5
(E n g lis h ) 2 0 0 6
N ew England
Penns y lv ania
1 Québec map
13 th edition 2016
bilingual
(E n g lis h ) 2 0 0 5
Oregon
(E n g lis h ) 2 0 0 5
Alas ka & W as hington
(E n g lis h ) 2 0 0 5
A value of
$41.80
Save $6.80
Sub-total:
(A ll p r ic e s in c lu d e ta x e s ) Handling and s hipping fees :
Total order: fax to:
Mondial de la Bière: 514-722-8467
I, THE UNDERSIGNED, AUTHORIZE THE MONDIAL DE LA BIÈRE TO DEBIT MY CREDIT CARD:
VISA
MASTER CARD
+
$
(T o b e c o n fir m e d d e p e n d in g o n q u a n tity )
Fill in the following form and
$
AMERICAN EXPRESS
CARD NUMBER:
CARD NUMBER:
EXPIRATION DATE:
NAME (PLEASE PRINT):
SIGNATURE:
DATE:
ESTABLISHMENT:
$
Payment:
Check Box
By cheque
(Make to the order of Mondial de la bière)
Please send your
cheque and payment
authorization form by
mail to:
Mondial de la Bière,
2236, Beaubien Street East,
Montréal (Quebec)
Canada
H2G 1M7
ADDRESS:
CITY:
Check Box
COUNTRY:
By credit card
POSTAL CODE/ZIP CODE:
TEL.:
IMPORTANT: Your confirmation will be received by fax or email.
Fax:
Email:
(1) • Purchases/reservations are non-refundable • Offer valid until stock depletion.
Please add 3% if you pay with
a credit card, thank you!