SUMMER ORDER FORM 2013IT'S SO EASY, ORDER YOUR WAY!You can phone, fax, mail, or go online to order.Santas ChoiceP.O. Box 6400, Stn Agincourt Scarborough, ON M1S 0B21.800.847.02361.877.323.3983Online: www.santaschoice.caOrder Code: S13E Please quote this number when ordering.If your circumstances change and you can't continue your payments, we will supply Hampers to the value of payments made. No refunds.YOUR CONSUMER RIGHTS ARE OUTLINED ON THE REVERSE OF THIS FORM.IF YOU PHONE IN YOUR ORDER, YOU WILL NEED TO COMPLETE AND MAIL/FAX THE PAYMENT METHOD FORM TO US IMMEDIATELY. Mr. Mrs. Miss Ms.First NameLast NameApt No. Buzzer Code Street No.Street NameCityProvincePostal CodePhone (hm)Phone (wk)Phone (cell)E-mail3 MAILING ADDRESSFirst NameLast NameApt No. Buzzer Code Street No.Street NameCity Province Postal CodeSpecial Delivery Instructions4 DELIVERY ADDRESS (If different from mailing address, or if the order is a gift)Referred By Agent NameReferred By Agent No.2 DO YOU HAVE AN AGENT?1 CUSTOMER DETAILS I am a new customer I am an existing customerCustomer No.PLEASE NOTE EACH HAMPER/VOUCHER CONSTITUTES A SEPARATE SALE AND PURCHASE AGREEMENT.5 YOUR HAMPER ORDEREXAMPLE ONLY6 PAYMENT DETAILS (ALL HAMPERS MUST BE PAID IN FULL BY May 3, 2013) All Hamper orders must be finalized by April 19th, 2013 as we will start packing your hampers!PRE-AUTHORIZED DEBIT INFORMATION (Please note that we require 2 busines days notice to make changes to your pre-authorized payment)I/We___________________________________________ acknowledge that this PAD authorization is provided for the benefit of Santas Choice Inc. and the financial institution identified below in accordance with the rules of the Canadian Payments Association. This authorization is to remain in force in accordance with the terms described in the service agreement Santas Choice PAD Agreement explained on the reverse. I/We warrant and guarantee that all persons whose signatures are required to sign on this account have signed this agreement below.Signature_____________________________________ Date______________________ Signature_____________________________________ Date______________________Details of the Account to be Debited (PLEASE SEND A VOID CHEQUE TO CONFIRM YOUR BANKING DETAILS)Name of Bank/Credit Union_______________________________________________ Name of Account Holder_______________________________________________Transit Number Institution Number Account Number PAYMENT DATE DETAILSPlease process my payments as follows: Start Date______________________ I want to pay (check relevant box) Weekly Biweekly Monthly On this Day of the Week Monday Tuesday Wednesday Thursday FridayI have read and understood the terms and conditions as set out in the catalogue and on the opposing page of this form.7 Signature_______________________________________________________________________ Date_______________________ MM / DD / YY MM / DD / YY MM / DD / YY MM / DD / YY CodeHamper NameQtyPriceTotal Price1208Super Summer Meats1$610$610Calculate Total Price: (We will calculate your payments for you)THANK YOU FOR YOUR ORDER!Be a Santas Choice AgentYou + 2 = $$$ 4 YouSee catalogue for detailsContinue my payments for HeadStart 2014!
PRE-AUTHORIZED DEBIT AGREEMENTBy signing this order form, you acknowledge that this Pre-Authorization is provided for the benefit of Santas Choice and your financial institution and is provided in consideration of your financial institution agreeing to process debits against your account in accordance with the rules of the Canadian Payments Association.You warrant and guarantee that all persons whose signatures are required to sign this account have signed this agreement on the front of this order form.You hereby authorize Santas Choice to draw on your account detailed on the front of this order form with your financial institution for the purposes of paying for your Santas Choice order and your participation in the HeadStart Plan.The amount and cycle of the payments are detailed on the front of the order form.This authorization may be cancelled at any time upon notice by you.You acknowledge that, in order to revoke this authorization, you must provide notice of revocation to Santas Choice, P.O. Box 6400, Stn Agincourt, Scarborough, ON M1S 0B2.You acknowledge that provision and delivery of this authorization to Santas Choice constitutes delivery by you to your financial institution. Any delivery of this authorization to Santas Choice constitutes delivery by you.You acknowledge that you have waived the pre-notification requirement if Santas Choice or you require modifying the payment amount or cycle.You agree that your financial institution is not required to verify that the Pre-Authorized Debit has been drawn in accordance with this authorization including amount and cycle.Revocation of this authorization does not terminate any contract for goods or services that exists between you and Santas Choice. Your authorization applies only to the method of payment and does not otherwise have any bearing on the contract for goods or services exchanged.A Pre-Authorization Debit may be disputed by you under the following conditions: 1) the Pre-Authorized Debit was not drawn in accordance with your authorization; or 2) the authorization was revoked.In order to be reimbursed you acknowledge that a declaration, to the effect that either 1 or 2 above took place, must be completed and presented to the branch of your financial institution no later than 90 calendar days after the date on which the Pre-Authorized Debit in dispute was posted to your account.You acknowledge that a claim made on the basis that your authorization was revoked, or any other reason, is a matter to be resolved between Santas Choice and you when disputing any Pre-Authorized Debit after 90 calendar days.You agree to the disclosure of personal information contained in the Pre-Authorized Debit Information to Santas Choice's financial institution, as far as any such disclosure of personal information is directly related to and necessary for the proper application of rule H1 of the Canadian Payments Association.By signing the Pre-Authorized Debit Information on the front of this order form you understand, accept and participate in this Pre-Authorized Debit arrangement.PAYMENTS AND ADJUSTMENTSBy signing this order form, you acknowledge that all your payments before May 3, 2013, will be held by Santas Choice as non-refundable deposits, and at such time Santas Choice will apply the non-refundable deposits against the purchase price of your order. If, at that time, your order is not fully paid, you hereby authorize Santas Choice to adjust your order to substitute your selected Hamper with a Hamper having a value (inclusive of all taxes, delivery, administrative charges, etc.) determined by Santas Choice to be equal to the amount paid. If you have elected to participate in the HeadStart Plan, you hereby acknowledge that Santas Choice may continue to draw on your account after May 3, 2013, to pay for your participation in that program as non-refundable deposits toward future orders.AUTO RENEWAL HEADSTART PLANYour direct debit payments will continue until your order is fully paid for (no later than May 3, 2013). After May 3, 2013, a HeadStart Plan may be created for you and direct debit payments will continue accordingly. A HeadStart Plan allows you to make payments towards next year's order, while giving you time to decide exactly which products you want. We will write to you to confirm your HeadStart Plan payments prior to commencing your direct debits. Auto Renewal HeadStart Plans are fully refundable at no cost to you should you wish to stop it.CREDIT BALANCEWe reserve the right to deduct a $5 monthly administration fee from any credit balance on an inactive account.CATALOGUEAll efforts have been made to check for errors and omissions in typography and photography. However, inadvertent errors may occur for which Santas Choice will not be responsible. Product images are for illustrative purposes only.YOUR RIGHT TO CANCELYou may cancel this agreement from the day you enter the agreement until 15 days thereafter. You do not need a reason to cancel during this period. If you do not receive your Hampers within 30 days of the delivery date on your delivery advice letter, you may cancel this agreement within one year of the contract date. You lose that right if you accept delivery after the 30 days. There may be other grounds for extended cancellation required by law in your province. For more information, you may contact your provincial/territorial consumer affairs office.If you cancel this agreement on any of the grounds set out above, Santas Choice will refund your money in 15 days.To cancel, you must give notice of cancellation to Santas Choice, P.O. Box 6400, Stn Agincourt, Scarborough, ON M1S 0B2 (fax: 1.877.323.3983). You must give notice by a method of cancellation that will allow you to prove that you gave notice, including registered mail, fax, or personal delivery.Santas Choice No Refund policy takes effect 15 days after you place your order. Upon approval by Santas Choice, at Santas Choice's sole discretion, any permitted cancellation after such day will be subject to a 25% administration fee based upon the amount you paid to the date of cancellation.FREQUENTLY ASKED QUESTIONSFor a full list of Frequently Asked Questions, please visit www.santaschoice.ca.OTHER TERMSYou are advised to retain a copy of this order form for your records. Confirmations and notices sent by Santas Choice through mail to your address set out on the opposite page will be deemed to be received by you 5 business days after sending. Santas Choice reserves the right to alter Hamper contents in the event of any major cost increases.Contract in English: The parties agree that this agreement be drawn up in English only but without prejudice to any such documents or instruments which may from time to time be drawn up in French only, or in both French and English.TERMS AND CONDITIONSHOW MANY PAYMENTS ARE LEFT?Use this chart to figure out your number of payments remaining. Or call our customer service line and we will figure it out for you! Don't forget - the final payment date is May 3, 2013.WEEK ENDING# OF PAYMENTSWEEK ENDING# OF PAYMENTSWEEK ENDING# OF PAYMENTSWEEK ENDING# OF PAYMENTSFri, May 11, 201252Fri, Aug 10, 201239Fri, Nov 9, 201226Fri, Feb 8, 201313Fri, May 18, 201251Fri, Aug 17, 201238Fri, Nov 16, 201225Fri, Feb 15, 201312Fri, May 25, 201250Fri, Aug 24, 201237Fri, Nov 23, 201224Fri, Feb 22, 201311Fri, Jun 1, 201249Fri, Aug 31, 201236Fri, Nov 30, 201223Fri, Mar 1, 201310Fri, Jun 8, 201248Fri, Sept 7, 201235Fri, Dec 7, 201222Fri, Mar 8, 20139Fri, Jun 15, 201247Fri, Sept 14, 201234Fri, Dec 14, 201221Fri, Mar 15, 20138Fri, Jun 22, 201246Fri, Sept 21, 201233Fri, Dec 21, 201220Fri, Mar 22, 20137Fri, Jun 29, 201245Fri, Sept 28, 201232Fri, Dec 28, 201219Fri, Mar 29, 20136Fri, Jul 6, 201244Fri, Oct 5, 201231Fri, Jan 4, 201318Fri, Apr 5, 20135Fri, Jul 13, 201243Fri, Oct 12, 201230Fri, Jan 11, 201317Fri, Apr 12, 20134Fri, Jul 20, 201242Fri, Oct 19, 201229Fri, Jan 18, 201316Fri, Apr 19, 20133Fri, Jul 27, 201241Fri, Oct 26, 201228Fri, Jan 25, 201315Fri, Apr 26, 20132Fri, Aug 3, 201240Fri, Nov 2, 201227Fri, Feb 1, 201314Fri, May 3, 20131