| Name: | _____________________________________________ |
| Address: | _____________________________________________ |
| City/Town: | __________________ |
Prov/State: | __________________ |
| Country: | __________________ | Postal/Zip: | __________________ |
| Phone: | (____)_____________ | Fax: | (____)_____________ |
|
Magic BananaTM Order:
| Shipping Location |
Price (includes S&H) |
Quantity |
Total |
| Canada |
$49.95 CDN |
| |
| U.S.A. |
$49.95 USD |
| |
| Overseas |
$42.00 EUROS |
| |
Volume discounts available, please email to inquire.
|
Billing Information:
Check one:
___ I authorize Sacred Fire Explorations
to bill my credit card for the total cost
of my order. (Please fill out your billing information to the right.)
___ I am enclosing an INTERNATIONAL Money Order.
|
|
Credit Card Information:
|
____ Visa ____ MasterCard |
| Name: |
_____________________ |
| Number: |
_____________________ |
| Expires: |
____/____ |
| Signature: |
_____________________ |
| Date: |
_________________ |
|
Gift message or other notes:
|
Please mail your completed form to:
Sacred Fire Explorations,
CDO Gardiners, #27027
Kingston, Ontario, CANADA, K7M 8W5
Cancellation of this order may be accepted if writen notification by the customer is received before the product has been sent. If after that time cancellation is accepted by the seller, the customer is responsible for any and all preparaton and restocking costs incurred by the seller.
The seller will endeavour to meet all reasonable delivery dates, should any delays occur beyond the seller's control. Goods ordered will be shipped and delivered at the earliest possible time thereafter.
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