Order Form
  Please fill-in, print and send with order

  * required
Name: First Last *
Address: *
Town/City: *  Postal Code: *
Phone Number: *    Fax Number:
Email Address: *
Number of Discs: DVD   CD   PS2   PS1

List of Included Discs: (optional)
Cost: # of Discs x $ per disc = $
Shipping: $ (call or email for shipping rates)
HST: (13%) $

We Accept Interac/e-transfers, Money Order, Cheque or Cash
If your are paying by cheque, repaired discs will be shipped once the cheque is verified and cleared.

Please make cheque or money order payable to Little Shop Of Heroes

Little Shop Of Heroes
160 Wallace Ave. S.
Listowel, ON  N4W 1X9

Guarantee and policies:
Discs sent to us will be assessed prior resurfacing. Discs deemed "unrepairable" are returned at no charge. All resurfaced discs are guaranteed to perform or the repair charge is refunded (or credited on next order).

NOT responsible for lost or damaged discs due to shipping.