Use the Following Form to Place an Order

 
 
  Product Selection:
  Qty                                  Description                                  Price
  Insert Pack 1  ............. $
  Insert Pack 2 ............. $
  Insert Pack 3 ............. $
  Shipping Options:
  Shipping times to USA (in business days) based on distance from our home office:
 Ground Parcel (7 to 10 days)    Expedited Ground + Confirmation # (4 to 7 days)
 Air Parcel (5 to 10 days)           XpressPost + Tracking # (2 to 5 days)
 Priority + Tracking # (1-2 days)
 
  Delivery Information:
 
  Name: 
  Company: 
  Address 1: 
  Address 2: 
  City:        State/Prov.: 
  Zip/Postal Code:    Country: 

  Voice Phone: 
  Fax: 
  Email:

 

Billing Information:


Credit Card:
We will call you for the card number before shipping order.

  Cardholder Name: 
 


             
We will confirm with you by phone or email the total cost of your order + shipping. 
A shipping confirmation email will be sent to you by our shipping software when 
the package is shipped where applicable.