Order Form
Head Office:
59 Eagle Drive, Winnipeg, MB R2R 1V4
Telephone: (204) 783-8512
Fax: 1-888-783-3302 E-mail: sales@gouletaircraft.com
Branch Office:
48 Airport Road Edmonton, AB T5G 0W7
Telephone: (780) 452-4242
Fax: 1-888-454-4050 E-mail: goulaced@telus.net
Telephone  
Date
Fax  
Alternate Telephone  
Company Name
Contact
Address
P.O. Box
City
Province
Postal Code
Ship To (if different than above)
Attn
Address
P.O. Box
City
Province
Postal Code
SHIP VIA:
                regular mail
                express post
                UPS
                Bus
                air freight
                motor freight   
NEED MORE ORDER FORMS
MINIMUM ORDER $5.00

qty. part no. description unit price total price

Merchandise Tot
Shipping Charges
5% G.S.T.
(MB residents only) 7% P.S.T.
TOTAL
Manitoba Sales Tax Resale License No.