Workplace Coaching Skills
Special Offer Order Form

By Phone:

(604) 460-2909		 By E-Mail

info_pmsc@ola.bc.ca
 By Fax:

complete & fax this form to
(604) 460-2903		 By mail: complete & send this form to

OLA - Pitt Meadows Campus
#230-19150 Lougheed Hwy
Pitt Meadows, BC.  V3Y 2H6
Name:
Title:
Organization:
Address:
City: Postal Code:
Phone: (           ) Fax:   (           )
E-Mail:

Special Price:
 
$210.00 x 

Quantity

_________________  =

 Total

$_______
Shipping (10%) = $ ___________
Subtotal = $ ___________
GST (7%) = $ ____________
Grand Total =  $ ____________
Payment method:

[   ]    Cheque enclosed
          Payable to: Open Learning Agency

[   ]    PO# 

[   ]    VISA                   [   ]  MasterCard

Card Number: 

Expiry Date: 

Signature: