Picquic Sample Order Form

Sample and literature order form
R
We still make ‘em like we used to.
TM/MC
EST.
1988
PPPC supplier member #20071213
SAGE supplier member #69879
TM
Please use this form to order samples
and literature on our line. Freight is
NO CHARGE, but please allow 10 days
for delivery. If you require samples
sooner, please provide your alternate
shipping instructions and your account
number for your shipping company.
All products ship from our Vancouver
B.C. manufacturing plant.
TM
7
DASH
TM
Multique
TM
TM
TM
Please refer to catalogue for colour code for each product sample and indicate preference.
product description
SIXPAC Plus, the original with 7x 3" Powerbits
Stubby, the world's first with 6x 1.3" insert bits
Dash 7 with Short Handle & 7x 2" Powerbits
Multique, with slimhandle & 7x 2.5" bits
Teeny Turner Mini with 7x 1" precision bits
Mariner with plated 7x 3" Powerbits
SUPER 8 Plus, 3" Powerbits plus 1/4" & 5/16" nutdrivers
Company name:
Street, number, suite:
City:
Province:
Postal code:
your shipper account #:
PST exempt #:
Tel:
colour quantity cost
$5.50
$4.61
$3.53
$3.84
$2.12
$9.21
$7.49
total
email:
Ship to:
Please circle address type:
residential
commercial
I authorize Picquic Tool Company to charge the amount of $_______USD
CDN
to my
Visa
Mastercard
Expiry date:_______________
Card Number:____________________________________________________
Name on Card:___________________________________________________
Signature:_____________________________________Date:______________
Picquic Tool Company Inc.
Unit #110, 8383 Manitoba Street
Vancouver, B.C. Canada V5X 3A9
Please fax completed form to 1-800-789-0222
or email to service@picquic.com
tel: 877-999-7697 or (604) 261-3766
fax: 800-789-0222 or (604) 261-2740
service@picquic.com
Picquic is a registered trademark; SIXPAC Plus, SUPER 8 Plus, MARINER, DASH 7, STUBBY, Multique, Teeny Turner, are trademarks of Picquic Tool Company Inc. Copyright, 2015, Picquic Tool Company Inc. Vancouver, B.C. Canada