Order Form
Please print out* and complete this order form and then mail it to us.
We accept Company Cheques and Money Orders.
* To print this page from most Web browsers, select the FILE menu
then choose PRINT.
I wish to purchase:
#___ Interactive Media Producers Survey 2002 at $999.00
#___ Sondage auprès des producteurs de l'industrie du média interactif 2002 à $999.00
#___ Interactive Media Producers Survey 2001 at $999.00
#___ Sondage auprès des producteurs de l'industrie du média interactif 2001 à $999.00
#___ Canadian Interactive Media Producers' Survey 2000 at $749.00
#___ 2000 MultiMediator Salary Survey at $249.00
#___ Canadian New Media Producers' Survey 1999 Final Report at $249.00
#___ The CanCon New Media Sessions at $50.00
Discount: $__________(if applicable)
Discount Code: __________ (required for discount)
Subtotal: $__________ (All prices are in Canadian funds)
Priority Shipping and Handling: $8.00*
* International shipping rates apply to orders outside of North
America. Contact us for further details.
Grand Total: $__________
Tell Us: How did you hear about the product(s) you are ordering today?
____________________________________________________________________
Purchaser's Information:
Company Name: _____________________________________
Contact Name: ______________________________
Street Address: ___________________________________
_______________________________________________
City/Town: ______________________________________
Province/State: ___________________________________
Postal Code/ZIP: _________________________________
Country: ________________________________________
Phone Number: ( _____ ) ___________________________
Fax Number: ( _____ ) _____________________________
E-mail Address: __________________________________
Shipping Address (if different than above):
Company Name: _____________________________________
Contact Name: ______________________________
Street Address: ___________________________________
_______________________________________________
City/Town: ______________________________________
Province/State: ___________________________________
Postal Code/ZIP: _________________________________
Country: ________________________________________
Phone Number: ( _____ ) ___________________________
Fax Number: ( _____ ) _____________________________
E-mail Address: __________________________________
If paying by Cheque or Money Order, please make it
payable to "MultiMediator" and mail it to us along with your order.
Our mailing address is:
MultiMediator
689 Queen Street West, Suite 198
Toronto, Ontario
Canada M6J 1E6
Tel: (416) 352-5471
E-mail: store@multimediator.com
Web Site: http://www.multimediator.com/
return to MultiMediator Store page
