order form - J`aime 5 à 10

ORDER FORM
We’re very pleased to share our publications with you. To make sure you get the exact materials you want, please
complete this form and send it in by: Fax to 514-355-9876 or Email to [email protected]
1. Please send me the following – All publications are FREE :
Documents
Quantity requested*
Bleuets sauvages
Brocolis et choux-fleurs
Not available
Canneberges
Fraises et framboises
Légumes de serre
Product guides
(French only)
Not available
Légumes cultivés et transformés
au Québec (maïs, pois et haricots)
Melons d’eau
Oignons
Poires
Pommes
Not available
Pommes de terre
Not available
Raisins de table de la
Californie
Guide sur les fruits et légumes «Coup de cœur pour la saveur»
Not available
Guide «En route vers les produits de la Californie»
L'ABC des purées maison : fruits et aux légumes
Not available
The ABCs of homemade baby food : fruits and vegetables
Not available
Guide sur les fruits et légumes
et les produits laitiers
"Découvrez les p'tits secrets
de santé de madame
Tremblay"
Fiche portions sur les fruits et légumes (Bilingue)
Affiches colorées de la campagne "J'aime 5 à 10 portions par jour"
Dimensions : 36 pouces (L) x 20 pouces (H), 3 modèles
Not available
*The QPMA reserves the right to alter quantities requested based on available supplies.
Delivery date
2. I choose the following method of delivery:
All materials are sent FREE by mail up to a maximum of 500 grams.
For weights over 500 grams (almost 20 guides), we offer three options at your expense.
Please check off your preferred option.
1  Pickup at our offices
6020 Jean-Talon Street East Suite 740
St-Léonard, Québec
H1S 3B1
2  Delivery by my courrier
(Purolator, Dicom…)
Name of courrier
Account number
3  Delivery by QPMA’s courrier at your expense.
Delivery address
Name:
Position:
Organization :
Address:
City:
Province:
Phone:
Email:
Postal Code:
Billing address (if different)
Name:
Position:
Organization:
Address:
City:
Province:
Phone:
Email:
Postal Code:
 I confirm reading the order sending conditions and
I agree to pay the delivery if needed
You can also go to our website to upload documents at www.jaime5a10ca./fr/outils
and view our TV ads at www.jaime5a10.ca/fr/campagne.