Use the Following Form to Place an Order

 
Product Selection:
  Qty                                 Description                                   Price
Insert Pack 1 ............. $
Insert Pack 2 ............. $
Insert Pack 3 ............. $
  Shipping Options:
  Shipping times (in business days within Canada) based on distance from our home office:
 Ground Parcel (1-3 weeks)    Expedited Ground + Confirmation # (2-7 days)
 Air Parcel (1-2 weeks)           XpressPost + Tracking # (1-5 days)
 Priority + Tracking # (1 day)
 
   Delivery Information:

Name:
Company:
Address 1:
Address 2:
City: State/Prov.:
Zip/Postal Code: Country:

Voice Phone:
Fax:
Email:
  Billing Information:
       Credit Card: 
We will call you for the card number before shipping order.

 Cardholder Name:

 
We will confirm with you by phone or email the total cost of your order + shipping.
A shipping confirmation email will be sent to you by our shipping software when the
package is shipped, where applicable.