Ordering Options:

• Print out this form and fill out your order then send it along with a cheque, money order or VISA information to the address at the bottom of this page.

• OR Phone in your order to the number at the bottom of this page. (VISA Orders only)

• OR Print out form and fax to the number at the bottom of this page. (VISA orders only)

• Name : _______________________ Address:_______________________

• City : ________________________ Province/State:__________________

• Postal/Zip Code________________ Country:___________________

• Telephone: ____________________ E-Mail: _________________________

Color/Description	Item#	Quantity	Price	Total
.	.	.	$	$
.	.	.	$	$
.	.	.	$	$
.	.	.	$	$
.	.	.	$	$
.	.	.	$	$
.	.	.	$	$
.	.	.	$	$
Payment Option (Check 0ne)Check/Money Order(_)	Visa (_)
			Subtotal	$
VISA #__________________________________________			Handling charge $8.95	$
Expiration Date__ __ __			VISA (add 5%)	$
Name on the card________________________________________			Total	$