ORDERED BY:	SHIP TO :Via Canada Post ___ CANPAR___
Name:	Name:
Street:	Street:
City:	City:
Province/State:	Province/State:
Postal Code/Zip:	Postal Code/Zip:
email address:	Phone with area code:

Quantity	Description	Cost	TOTAL

Payment Information Visa____MasterCard____ Check/M.O.____ DO NOT SEND CREDIT CARD # OVER INTERNET   Card No._______________________________________ Expiration Date__________________________________ Name_________________________________________ Signature ______________________________________ (credit card only)	SubTotal =
	GST(Cdn. Orders)=
	Provincial Sales Tax 8%  (if applicable)=
	Shipping-We will calculate and get back to you. C.O.D orders add $6.25
	TOTAL $