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 & USA) based on distance from our home office:
 Ground Parcel (3-10 days)    Expedited Ground + Confirmation # (1-7 days)
 Air Parcel (1 to 5 days)           XpressPost + Tracking # (1-4 days)
 Priority + Tracking # (1 to 2 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.