Translation: 

Privacy and Security Policy                             Conditions of Use (Disclaimer)

***IMPORTANT: PRINT, FILL OUT, AND FAX or MAIL THIS ORDER FORM***

Phone: 613-692-3577 or 519-942-0898  FAX: 519-942-3422        Country Code (001)

DATE:_____________________

Name: ___________________________________________________________________________

Address: __________________________________________________________________________

__________________________________________________________________________________

 _________________________________________________________________________________

_________________________________      Country:_____________________________________

Daytime Phone: ______________________  e-mail Address:______________________________
(We need a phone number no matter what country you live in.   E-mail address is
for sending your shipment tracking information.)f

Please Ship my order:      United Parcel Service (UPS Courier)             Surface Mail

   Payment: Cheque/"International" Money Order    Please Charge my:  VISA   Mastercard
(Personal Cheques allow 30 days to clear bank)

        Expiry: -

______________________________


ALL INTERNATIONAL ORDERS PROCESSED IN CANADIAN DOLLAR PRICES.  ONLY U.S. CUSTOMERS USE U.S. DOLLAR PRICES.

Additional Information: