Haldimand-Norfolk Information Centre
Publications Order Form
Yes, I would like to order the following: Unit Price # of
Copies		 Subtotal
per Item
Community Resource Directory (Blue Book) $35.00 _______ $______
Haldimand County and Norfolk County Service Club Directory $25.00 _______ $______
Haldimand County Service Clubs and Special Interest Groups $25.00 _______ $______
Norfolk County Service Clubs and Special Interest Groups $25.00 _______ $______
Both sets of above two directories $40.00 _______ $______
Haldimand County and Norfolk County Women's Organizations $12.00 _______ $______
Haldimand County and Norfolk County Churches and Religious Organizations $12.00 _______ $______

This form may be mailed, along with a cheque to:

The Haldimand-Norfolk Information Centre
Governor Simcoe Square
40 Colborne Street South
Simcoe, Ontario  N3Y 4H3

Or faxed, along with a P.O.# to
(519)428-0787
Total items ordered $______ Deduct 5% from this figure if you are currently a member of HNIC
Shipping and Handling $ 5.00   
Subtotal $______
(GST #118950534)
GST 7% of sub total		 $______
Total $______
  Cheque Enclosed
(make cheques payable to the Haldimand-Norfolk Information Centre)		 Would you like us to invoice you?
P.O.#_____________________
Yes, I am currently a member of the Haldimand-Norfolk Information Centre and I am taking advantage of the 5% discount (Membership #____________________)

Name:_________________________________  Organization:__________________________________

Address:____________________________________________________________________________

City:_____________________________________  Postal Code:_______________________________

Telephone: (          )____________________________  Fax: (          )____________________________