ORDER FORM (please print legibly) Guest Name: __________________________________________________________________________
Hostess Name: _________________________________________________________
Mailing Address: _______________________________________________________________________
Party Date: __________________ Please check the box below if you would like to:
City: _____________________________________ Province: ________ Postal Code: __________________ Email: _______________________________________________________________________________
Thirty-One Gifts Canada Inc. 100 World Drive, Mississauga, Ontario, Canada L5T 3A2 Phone:1-855-GIFTS31 GST/HST Number: 811997089 RT0001
¨ R eceive ongoing communication from Thirty-One Gifts and assigned Consultants
¨ Host a party ¨ Become a Consultant
You may withdraw your consent to receive ongoing communication at any time. Please refer to our Privacy Policy at www.thirtyonegifts.ca/privacy for more details.
Phone #: ___________________________________ Cell #:_____________________________________
Please refer to the Personalization Studio in your Catalogue for design, font and design colour information while filling out order form. Product Item No.
Personalization text and colour
Qty.
Cost
Line 1
Colour
Line 6
Colour
Item Name
Line 2
Colour
Line 7
Colour
Line 3
Colour
Line 8
Colour
Line 4
Colour
Line 9
Colour
Line 5
Colour
1 Design 2 Font Item No.
3 Design colour Qty.
Line 1
Colour
Line 6
Colour
Item Name
Line 2
Colour
Line 7
Colour
Line 3
Colour
Line 8
Colour
Line 4
Colour
Line 9
Colour
Line 5
Colour
1 Design 2 Font Item No.
3 Design colour Qty.
Line 1
Colour
Line 6
Colour
Item Name
Line 2
Colour
Line 7
Colour
Line 3
Colour
Line 8
Colour
Line 4
Colour
Line 9
Colour
Line 5
Colour
1 Design 2 Font Item No.
3 Design colour Qty.
Line 1
Colour
Line 6
Colour
Item Name
Line 2
Colour
Line 7
Colour
Line 3
Colour
Line 8
Colour
Line 4
Colour
Line 9
Colour
Line 5
Colour
1 Design 2 Font
3 Design colour
Consultant contact information & signature
Print Consultant name
Consultant signature
Consultant address
Consultant phone number or email address white: Consultant copy yellow: File copy pink: Guest copy item# 118101170000
□ Cash
□ Cheque # __ __ __ __
Name on card: __________________________________________________________________
Card #: __ __ __ __
Billing address: __________________________________________________________________
Billing city & postal code: __________________________________________________________
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 thirtyonegifts.ca/privacy.
Pers. Price Total Price Item Price Pers. Price Total Price Item Price Pers. Price Total Price Item Price Pers. Price Total Price
* Personalization cost included with pillows and wall art
□ Credit Card Exp. __ __ / __ __ __ __
Item Price
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* (optional step) * See back of form details thirtyonegifts.ca/gives
$
Grand total $ Purchaser’s Signature: ________________________________________ Signed at: ________________________________________________ Date: _____________