OES Consumer and Retail Brochures: Order Form

Request Environmental Handling Fee and Retail/Merchant Brochures

1. Contact Info

First Name *		Last Name *

Email Address *

Phone Number *

2. Store Information

Store #		Store Name *

Street Address *

Suite/Office

City *	Province *	Postal Code*

3. Electronics Recycling and Environmental Handling Fees
Click to view English / French brochure

	English	French
Number of Bundles (30/bundle)

4. For Retailers or Merchants
Click to view Retailer/Merchant brochure

These brochures are intended to be shared among your staff--the maximum order quantity is 10. Should you require more please contact marketing@ontarioelectronicstewardship.ca

4.  For Retailers or Merchants (Brochure): Quantity RequestedClick to view Retailer/Merchant brochure *This question is required	English
Number of Brochures

5. Number of Brochure Holders (maximum order quantity of 10)

	English
Number of Holders

6. Send Brochures "Attention To" *This question is required

Please click on the next button to continue.

Order confirmation

Your order number , was placed on

Your order has been successfully placed. A summary of your order will be sent to the email address listed below. Please make a note of the order number or keep a print out of this page for your records. For all other enquires regarding the program or to make changes to your order, please contact marketing@ontarioelectronicstewardship.ca.

Shipping address:

Order:

Shipping Method:	Shipping
Shipping Address:

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