Guest Name _________________________________________________________ Date ______________ Address ________________________________________________________________________________ City ___________________________________________ Province _______ Postal Code ____________ Phone ___________________________ Email Address __________________________________________ Hostess Name ___________________________________________________ Party Date _____________
Thirty-One Gifts Canada Inc. 100 World Drive, Mississauga, Ontario, Canada L5T 3A2 Phone:1-855-GIFTS31 GST/HST Number: 811997089 RT0001
Please check the box if you would like to: Host a party Become a Consultant Share the name of someone who would love Thirty-One Gifts may withdraw your consent to receive ongoing communication at any time. Receive ongoing email communication from Thirty-One Gifts and the Consultant at this party You Please refer to our Privacy Policy at www.mythirtyone.ca/info/privacypolicy for more details. Please refer to the Personalization Studio in your Catalogue for design, font and design colour information while filling out order form.
Product Item No.
Qty.
2 Font
3 Design colour Qty.
2 Font
3 Design colour Qty.
1 Design
Item Name
2 Font
3 Design colour
Item No.
Qty.
1 Design
Item Name
2 Font
3 Design colour
Item No.
Qty.
1 Design
Item Name
2 Font
3 Design colour
Item No.
Qty.
1 Design
Item Name
2 Font
3 Design colour
Item No.
Qty.
1 Design
Item Name
2 Font
3 Design colour
Consultant contact information:
□ Cash
□ Cheque # __ __ __ __
□ Credit Card
Name on card: __________________________________________________ Card #: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Print Consultant name
Exp. _ _ / ___ _ _
Billing address: __________________________________________________ Billing city & postal code: ___________________________________________
Consultant signature
Consultant address
Consultant phone number or email address white: Consultant copy yellow: File copy pink: Guest copy sku# 118107170000
Total Price
1 Design
Item Name
Item No.
Pers. Price
1 Design
Item Name
Item No.
Item Price
Personalization
Signature ______________________________________________________
For Statement of Buyer’s Right to Cancel, please see reverse side. Pour le Droit de Résiliation de l’achetuer, voir au verso. It is the Consultant’s responsibility to safeguard all credit card information, maintain a secure internet connection on PC using Party Plan ordering. Payment in full is required at time of ordering. † Delivery charge is the cost to process an order and ship it to the Consultant or Hostess. By completing and submitting this Order Form, you are consenting to Thirty-One Gifts Canada Inc. and its affiliates collecting, using and disclosing the information contained in this Order Form for the purposes of processing your Order and for such other purposes described in our Privacy Policy and as permitted or required by applicable laws. For further information regarding our personal information handling practices, please review our Privacy Policy at www.mythirtyone.ca/info/privacypolicy.
* Personalization cost included with pillows and wall art
Product subtotal $ 8% Delivery charge† $ Ship directly to Guest address (add $6.50) (optional step) $ Subtotal $ GST/HST __________% $ PST __________% $ Round Up! or make a donation*
mythirtyone.ca/gives (optional step) *See back of form details
$
Grand total $ Purchaser’s Signature: ___________________________ Signed at: ___________________________________ Date: _____________