JP PBM Order Form

Name ______________________________ Age _____
Address _____________________________________
City _________________________ State/Prov ______
Postal/Zip ___________________ Phone # _________
Email Address:________________________________


Method of Payment:
[ ] Money Order
[ ] Check *
[ ] C.O.D.**
[ ] PayPal ***

*Checks held for 3 weeks.  Bounced check is a $20.00 Surcharge.
** C.O.D. add $5 extra fee plus a 50% deposit.  C.O.D. allowed on refurbished items ONLY!
*** Please add a 3.65% PayPal Service fee (4.65% if Overseas) to
Total invoice. (PayPal's Service Fee rate).
Quantity         Description                   $/Unit         Amount
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
                                                  Subtotal ______________

                                  Shipping/Handling ______________
 
        (Click for Canada Post/Purolator or UPS  rate calculators)  
                   $2/$100 (Recommended)     Insurance _______________
                                               Subtotal ________________
                                                   (Ontario Only 13% HST) Tax _______________
                                              (Rest of Canada GST or HST) Tax _______________
                                Total (Canadian$)  _______________

Send orders to:
J.P. PBM Products By Mail
Box #60515  Jane/Wilson P/O
Downsview, ON  M3L 1B0
CANADA

Ordering by email:
email.jpg

For US$, multiply total by 0.
9524  (Exchange Rate = 5%)

Orders shipped by Courier require an address where the shipment can be signed for (home or office).  No P.O. Boxes please.

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