Fill in the information below and press PRINT at the bottom of the page. Mail in a print out of your completed order form along with your payment to the Windsor Essex County Health Unit at the address below.
Customer Information:
Company Name:
Contact Name:
Address:
City:
Province:
Postal Code:
Telephone:Ext:
Fax:
E-mail:

Click to activate the Order Calculator -->

Order Calculator
Enter Quantity desired..then Click on "Calculate Results"
Item
Size
Quantity
Price Each
Amount
General poster English French
11 X 17
$4.00 Each $
18 X 24
N/A $8.00 Each $
24 X 36
N/A $10.00 Each $
Vegetables and Fruit
11 X 17
$4.00 Each $
18 X 24
N/A $8.00 Each $
24 X 36
N/A $10.00 Each $
Grains
11 X 17
$4.00 Each $
18 X 24
N/A $8.00 Each $
24 X 36
N/A $10.00 Each $
Milk and Alternatives
11 X 17
$4.00 Each $
18 X 24
N/A $8.00 Each $
24 X 36
N/A $10.00 Each $
Meat and Alternatives
11 X 17
$4.00 Each $
18 X 24
N/A $8.00 Each $
24 X 36
N/A $10.00 Each $
Set of 5 (one of each)
11 X 17
$15.00 Each $
18 X 24
N/A $30.00 Each $
24 X 36
N/A $40.00 Each $

Shipping Information
Canada Post ($11 per poster tube. Each tube fits 10 posters) $
I would like to use my own FedEx or Purolator shipping account.
Account Type:    Account Number:
Name:
Phone Number:

SubTotal --> $
PST - Add 8.00% Tax. Tax --> $
GST - Add 5.00% Tax. Tax --> $
TOTAL --> $

Please send cheque or money order for the total amount, along with a print out of your completed order form to:

Windsor Essex County Health Unit
Attn: Jodi Wade
1005 Ouellette Ave.
Windsor, ON CANADA
N9A 4J8


If you have any questions regarding the shipping or ordering process please contact:
Darlene at (519) 258-2146 Ext. 2100.

Thank You For Your Order!