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DEALER ORDER FORM

IMPACT CANOPIES CANADA

1050 Brevik Place, Mississauga, ON L4W 3V9 Sales Contact: Adam Key Direct: 416.992.8415 Fax: 905.282.1846 adamk@impactcanopy.com www.impactcanopy.com M A

B

K

F C G E C

I

J

L

H

QTY

Item

D

Item Description

Unit Cost $1795.00

Total

A

10’ Honda Branded Display Dome (includes dome top, frame, cupola, wall, visor, visor hardware & roller bag)

B

10’ x 10’ Honda Branded Canopy Kit (includes custom top, commercial grade M frame & roller bag)

695.00

$0.00 $0.00

10’ x 10’ Honda Branded Canopy Kit with Dealer Logo printed on valance (Dealer must submit vector logo artwork)

895.00

$0.00

C

10’ Honda Branded Canopy Wall

125.00

$0.00

D

10’ Honda Branded Rail Skirt (includes fabric & rail bar)

150.00

$0.00

E

Honda Branded Sky Flag Kit

245.00

$0.00

F, G

- Bases extra (Recommended: Grande Water Base)

Honda Branded Wing or Blade Flag Kit

265.00

$0.00

H

Honda Branded Director’s Chair

110.00

$0.00

I

3’ x 6’ Honda Branded Spring Sign

225.00

$0.00

J

3’ x 5’ Honda Branded Floor Mat

150.00

$0.00

K

Honda Branded Event Fencing (150’ Roll with 1-color logo printed every 10’)

495.00

$0.00

L

6’ Honda Branded Table Cover

195.00

$0.00

M

10’ x 20’ Honda Branded Canopy Kit (includes custom top, commercial grade M frame & roller bag)

1370.00

$0.00

10’ x 10’ Custom Canopy Top

375.00

$0.00

10’ x 20’ Custom Canopy Top

710.00

$0.00

10’ x 10’ Canopy M Frame

395.00

$0.00

10’ x 20’ Canopy M Frame

Please select style:

 F  G

650.00

$0.00

10’ Roller Bag

75.00

$0.00

20’ Roller Bag

100.00

$0.00

Base Plate with Ball Bearing

70.00

$0.00

Rubber Weights

20.00

$0.00

125.00

$0.00

Grande Water Base (ideal for Sky Flag)

HST & Shipping not included

Total

$0.00

Fax orders to Adam Key @ 905.282.1846 Comments

Dealer Information

Email:

Dealer Name:

Franchise No:

Billing/Shipping Address: City:

Prov:

Phone:

Fax:

Postal Code:

Credit Card Information *Sub Total $

Credit Card: Visa  Master Card AMEX  Discover

Prices are in CDN and are subject to change without notice. Graphic Renderings are not to scale. *Handling & Taxes will be added before payment is processed.

Card No:

Exp Date:

Signature

Cardholder’s Name

$0.00

Sec. Code:

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Honda auto order form 2014 online