** SELECT DESIGN OPTION: GCF1-1601 | GCF2-1601 | GCF3-1601 How it works from Dr. Mike Stage 1 - Easy-to-use forms let you see your proof right away! Choose from 3 design options, GCF1-1601, GCF2-1601, GCF3-1601 (shown above) using the buttons found below the certificate. Once your selected certificate appears, proceed to fill in your information in the form below. Click the preview button to view your certificate proof right away and complete your order! » FAMILY GIFT CERTIFICATES Full-colour, 8.5" x 3.5"   QTY UNIT PRICE TOTAL 500 $0.38 $189.07 1000 $0.31 $306.54 2500 $0.21 $529.39 » CONTACT INFORMATION CONTACT NAME • CLINIC NAME • PHONE • FAX • ADDRESS • CITY • PROVINCE/STATE • POSTAL/ZIP CODE • CANADA USA EMAIL   •Required fields » ORDER INFORMATION QUANTITY   500  1000  2500     CLINIC NAME 1 ADDRESS 2 CITY   PROVINCE/STATE POSTAL/ZIP CODE PHONE 3 WEBSITE 4 PAYABLE TO 5 CERT. VALUE 6 CERT. VALUE (Written in Full) 7 DR.'S NAME 8 CUSTOMIZED TEXT 9 This certificate entitles your entire family to a complimentary consultation, examination, and their report of findings. Must be presented on the date of the first visit. X-rays included. OFFER EXPIRES 10             METHOD OF PAYMENT   COD Credit Card If paying with a credit card, please download and fax our credit card payment form. Click here to download. Please note: COD is only available to Canadian residents and also only applys to ground shipping, not overnight. There is an additional fee for COD.       QUESTIONS/NOTES       All in Canadian dollars. Prices include one proof. If additional proofs are required, a $20 per proof fee will apply. Taxes, shipping and typesetting not included.             58 Arthur Street, Suite 200, Ottawa, ON K1R 7B9   t. 613.860.4444  1.800.944.6961  f. 613.247.9190  cyansolutions.com