Emergencies and Disaster Toolkit Purchase Form

Please complete this form to purchase the toolkit.

First Name*

Last Name*

Address*

City*

Province*

Postal Code*

Country*

Email Address*

Phone*

PLEASE NOTE: IPAC Canada cannot accept online payment from credit cards outside of Canada.

International Orders: Please contact info@ipac-canada.org.

Full Name (as it appears on credit card):*

IPAC Canada Member rate - $78.75 including 5% GST

$78.75 Quantity

Non-Member rate - $157.50 including 5% GST

$157.50 Quantity

Total

Enter the code displayed*

Contact Us
PO Box 46125 RPO Westdale
Winnipeg MB
R3R 3S3
Phone: (204) 897-5990
Toll-free: 1-866-999-7111
Fax: (204) 895-9595
Email: info@ipac-canada.org

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