Video Request Form

Company/
Institution

 

     

Name

 

     

Position

 

     

Address

 

     

City

 

     

State./
Province

 

   

 

Zip/
Postal Code

 

     

Phone

 

     

Fax

 

     

E-mail

 

     

Requested videos (please indicate video selection(s) below with up to a maximum of 2 videos at a time):
 
 

 

For a description on these videos please go to the Video page.
 

 VISA

 Mastercard

 
     

Name on Card

 

Card Number

 

Expiration Date

 

 

Debits will not be made to your credit card unless the video is damaged or not returned. Should the borrower become liable for a video(s), a $175 charge per video will be applied to your credit card.

   I understand that I am responsible to have borrowed videos returned to BAC by courier (at my expense) by 3:00 p.m. on the specified date of return.


Please Complete Print and send this page to us by fax or mail.

Baking Association of Canada
7895 Tranmere Rd., Ste 202
Mississauga, Ontario L5S 1V9
Tel: (905) 405-0288 - Fax: (905) 405-0993