Kosim Group Company Inc.

Online Order Form

How to Order

There are 4 different ways can order from us.
1. Call us at 1-416-502 3700 Ext. 10 (Order Desk)
2. Fax our order form to 1-416-502-2808 (Order Form: Download)
3. Email our order form to sales@kosim.ca (Order Form: Download)
4. Fill in this online order form and click "Submit" to our Sales Department. (Not available at this moment)

Height/Range

Top Dimension

Please provide the following information and then press the submit button at the bottom of the form.

Quotation:

Order:

Bill To:

*Name:

*Address:

*City:

*Prov./St.

*Postal/Zip Code:

*Email

*Tel:

Fax:

Ship To:

Shipping Address is the same as Billing Address:

Name:

Address:

City:

Prov./St.

Postal/Zip Code:

Tel:

Fax:

Quantity

Item #

Quantity

Item #

Table Orders:

Payment Method:

VISA Mastercard Cheque Money Order

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