ENTER the information below, then PRINT this ENTIRE PAGE out and send with your Money Order.
British Columbia Order Form
First Name:
Last Name:
Mailing Address:
City:
Province: British Columbia Postal Code:
Telephone: ( ) - Ext.
Email Address:
We will notify you by email when your payment is received and order has been shipped.
Signature: ___________________________________________________________________
I hereby certify that I am at least 18 years old and have requested the merchandise at my own will. By making this purchase, I have read and have agreeed to the terms and conditions stated within this web site.
IMPORTANT: Your order will be DELAYED or REFUSED if you do not sign the age certification above.
Indicate how many of each product you wish to order in the 'Qty'
column, then press the 'Tab' key on your keyboard. The Sub-Total amount will be calculated automatically.
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Please send a Money Order in CANADIAN FUNDS payable to: