Amantii Order Form – Eastern Canada - Amantii Electric Fireplaces

Place orders online through our convenient online order form.

Orders for Eastern Canada – Maritimes to Ontario.

Model number accuracy when ordering
Please make sure when placing an order that you have taken the correct model and description from the most current price list.

Amantii Products Order Form - Eastern Canada

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Fields marked with an * are required

Company Name *

Primary Contact Person *

Address 1 *

Address 2

City *

State / Province *

Zip / Post Code *

Phone *

Fax

Email *

Website *

Accounts Payable Contact Name *

Accounts Payable Email: *

IMPORTANT:
First time customers please make sure the Company Profile form accompanies this order.
All orders are to be paid in full prior to shipment.

Purchase Order#

Order Check list:

Is this a first time customer?

If yes, is the completed company profile attached?

QUANTITY

MODEL #

PRICE

TOTAL