Please note:
For your security and to prevent credit card fraud, orders can only be delivered to the address of the card holder.
Your Details: Name: Address:
Zip / Post Code: Phone: Email: Signature:
VISA Card Details: Name (exactly as on card):
pCard Number: Expiration Date: If you do not have a VISA Card you can still use this form to order by mail. Just make your choices and enclose your payment in $US. Mail to:
142 Browning Trail, Barrie,
Ontario, Canada, L4N 6R3
Your Order: Plan Name Price Shipping (US/Canada):
$ 3.00 Shipping (Rest of the World):
$ 5.00 Total:
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