* PAYNE MANUFACTURING COMPANY LIMITED ORDER FORM *

PLEASE COMPLETE, PRINT (and MAIL or FAX) OR SUBMIT (via E-MAIL)  the order form below.

Need help?  Feel free to call us at 1-800-385-1120 to place your order.

All orders submitted are processed through our secured server using SSL 128 bit encryption.

Payment must accompany your order. If you are submitting this form via e-mail, then we will process your order when we receive your payment (if paid by check or money order).  We accept check, money order, Visa, MasterCard, and American Express..

When completing the order form, an asterisk (*) indicates a required field.

Please allow two weeks for delivery of you order. Orders are shipped parcel post or UPS.

Payne Manufacturing Company Limited
1725 Matheson Boulevard East, Unit 10
Mississauga, Ontario, Canada L4W 1Z1
sales@paynemfg.com

Toll Free: 1-800-385-1120
Toronto Area: 905-282-9810
Fax: 905-282-9814

NOTE: Orders received without payment cannot be processed. Thank You.



All sets of 8 come in original aluminized colors (see image above).  If you wish to choose your own colors, please specify your preferences in the comments box on the bottom of this order form.

 

 

 

 

Silver

Red

Lime Green

Gold

 

 

 

 

Purple

Orange

Dark Green

Blue

All items available in 8 original aluminized colors - unless otherwise noted.

ITEM/PRODUCT #
COLOR
QTY
PRICE
TOTAL
FREE - Items marked with a √ include engraving at no extra charge.
AFRICAN VIOLET PLANTER - #2300
 
$10.00 each
BASKET PLANTER - #2200
 
$20.00 each
BBQ BRANDING IRON - #2800
Black Only
$13.00 each
BEER & SODA BUCKET - #2400
 
$20.00 each
√ BEER TUMBLERS - #400
SET OF 8 (16 oz)
Assorted
$43.00 per set
√ BIG BELLS - #2100
 
$10.00 per set
CANDLE SNUFFER - #3300
Black Only
$13.00 each
√ CAROL TONE CHRISTMAS BELLS (BOXED) - #1200
SET OF 8
Assorted
$17.00 each
√ CAROL TONE CHRISTMAS BELLS - #
SMALL 2" SIZE
Assorted
$5.00 each
√ CAROL TONE CHRISTMAS BELLS
LARGE 4" SIZE
Assorted
$10.00 each
√ CAROL TONE CHRISTMAS BELLS (ONE 4" & SEVEN 2")
Assorted
$50.00 each
CIGAR ASHTRAY - #700
Red Only
$5.00 each
COCKTAIL SET - #1600
SET OF 4
includes Cocktail Shaker,
Ice Bucket, and
2 Martini Glasses
 
$50.00 per set
√ COCKTAIL SHAKER - #200
 
$20.00 each
COOK BOOK STAND - #2700
Silver Only
$13.00 each
√ DOG & CAT BOWLS
3" SIZE
Assorted
$8.00 each
EGG CUPS 8/set - #3000
Assorted
$40.00 /set
ICE BUCKET - #100
 
$20.00 each
√ ICE CREAM CUPS - #1500
SET OF 8
Assorted
$40.00 per set
√ JUICE TUMBLERS - #800
SET OF 8 (10 oz)
Assorted
$30.00 per set
MARGARITA GLASS - #3600
8/set
Assorted
$43.00 /set
√ MARTINI GLASS 8/set - #300
Assorted
$43.00 per set
√ MUG 8/set - #3200
Assorted
$43.00 /set
PARTY BOWL - #1600
 
$30.00 each
PITCHER - #1400
 
$25.00 each
PRETZEL OR SALAD BOWLS 2/set - #2500
 
$30.00 per set
RETRO VASE - #2600
 
$20.00 each
√ SHOT GLASS 8/set - #900
Assorted
$20.00 /set
√ SHOT GUN - SHOT GLASS 8/set
- #2900
Assorted
$20.00 each
√ SODA TUMBLERS - #600
SET OF 8 (10 oz)
Assorted
$40.00 per set
TRAY 15" dia. - #3400
Silver Only
$25.00 each
TWO SIDED SHOT GLASS - #3100
 
$10.00 each
√ WINE GOBLET 8/set - #3500
Assorted
$43.00 /set
√ WEDDING GOBLETS
Assorted
$5.00 each
√ WREATH AND CAROL TONE CHRISTMAS BELLS (ONE 4" & SEVEN 2")
Assorted
$75.00 per set
Logo Setup Charge (optional) - Please select this if you want any of your engraved items to contain your logo.  One time fee.

$75.00 - One time setup
  ADD Shipping & Handling
$12.00 for orders
less than $100
$24.00 for orders of $100 or more 
 
TOTAL ORDER VALUE

Salutation
Mr. Ms. Miss

* First Name:

* Last Name: 

Company Name
(if applicable):

* Address 1:

Address 2:

* City/Town:

 * State/Province: 

* Zip/Postal Code:

 U.S.A. Canada

* Phone Number:

     Extension:    Fax:

* Payment Method:

 PLEASE NOTE: Orders sent without payment cannot be processed.  If you are emailing this form, your order will be
processed upon receiving payment

Check Enclosed Money Order

CREDIT CARD - OPTION 1
Call my credit card in.  Call us at 1-800-385-1120 after placing your order in order to
provide us your credit card information.

CREDIT CARD - OPTION 2
VISA MasterCard American Express  

Credit Card Number:   :  
Exp. Date (MM/YYYY):  

Engraving Comments (Please indicate which items you want engraved, what name to engrave, and what color)
Please note that only items indicated with a √ can be engraved.

OR