This page was designed for customers with existing accounts. For information on setting up an account please contact your customer service representative or local distributor.

Please note that you will receive an order confirmation within 24 hours of placing your order. Please review all the details to make sure they meet your order requirements. For credit card orders a faxed confirmation with signature is required.
Bill To:  
Purchase Order Number:
First Name:
Last Name:
Customer Number:
Company Name:
Credit Card Number:
Credit Card Exp. Date:
Street Address:
City:
State / Province:
Zip / Postal Code:
Country:
Phone:
Fax:
Email Address:
I would like to receive my order confirmation by email:
I would like to receive my order confirmation by fax
Ship To  
Same as billing address:
Street Address
City
State / Province:
Zip / Postal
Country
Choose one of the following methods of shipment and countries
Shipping method:
Canada
Shipping carrier
(if different from those above)
For collect charges enter your account number
United States
For collect charges enter your account number
Federal ID Number
Europe
Shipping carrier
(if different from those above)
For collect charges enter your account number
Catalogue Number Quantity Description Price

All Pricing valid for 30 days, TERMS Net 30 days, FOB Champlain (USA), FOB Baie d'Urfé (Canada), FOB Courtaboeuf, FR (Europe)

A customer service representative will contact you prior to any charges with final price and shipping information.