Payment Type:
Cardholder Name:
Card Number:
Expiration Date (MM/YY):
Reference Guide Price (A):
GST (5%) on (A):
Shipping Taxes:
Amount To Pay:
Payment must accompany this order form.
You will receive an order confirmation email once your order has been processed. Shortly after, you will also receive a shipping
confirmation with tracking information.
SALE POLICY: All sales are final. Receivers are responsible for monitoring the status of their shipment and contacting the courier if
alternate arrangements are required.
If you have any questions regarding this form, please contact MHFA Canada via email
Order Form: Participant Reference Guide
Please complete the information below and return this form to MHFA Canada via email
First and Last Name:
Phone Number:
Organization Name:
(if applicable)
MHFA Office use only
Transaction #: ______________________
Form Updated November 5 2020
HST Number 852998988 RT 0001
Select the reference guide type:
MHFA Standard (Virtual) Refere
nce Guide - $30 plus GST
Shipping Address:
Canada ONLY, no PO box
Shipping Province:
(Please select the province to
calculate taxes)
MasterCard Debit
Visa Debit
$ 0.00
$ 0.00
$ 0.00
Select a Province
$ 0.00
$ 0.00