Product Total	$	Prices quoted in US dollars. Please provide any comments or instructions below.
Shipping	$
Grand Total	$

White Glove Delivery Quote  Check this box if you would like a quote on White Glove Delivery.

To place your order now, complete the form and use the Submit button below.
If you prefer, you can CALL 800-387-9790 Monday to Friday, 9am to 4pm EST.
You can also Print the completed form and MAIL it to Can-Am
with your payment or credit card information to:
            CAN-AM /   2358 Midland Avenue, Unit 3  /  Scarborough, Ontario, M1S 1P8

Please indicate your Cabinet Color and Metal Top Color choice: Antique White Beige Black Satin Black Gloss Textured Charcoal Gray Chocolate Brown Director Red Fog Gray Hunter Green Navy Blue Plum Metallic Silver Satin Metallic Steel Gloss Steel Blue Storm Gray Teal Blue White Satin White Gloss

and Mica Top Color if applicable Beige / Antique White Black Charcoal Gray Fog Gray Metallic Navy Blue Storm Gray Walnut White Wood Grain

Please provide shipping information if different from above   

First Name		Last Name
Organization
Street Address
Address (cont.)
City		State	Alabama Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming --------------------- Alaska Hawaii Puerto Rico
Zip Code		Country
E-mail		Day Phone

We will reply by email with an ETA and a secure link where you can complete your order.

       Click Here to get a printable version of this quote.