TM

Patent  U.S. # 5317853 / CAN. # 2115722

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Order Form - Canada ( English)

Print Out, Fill in and Fax to 1-800-826-8912

FREIGHT: F.O.B. - CHARLTON, ON UPS or Canada Post Taxes Extra: PST(Ontario) and GST(Canada)  TERMS:  VISA / MASTERCARD

                                                     Quantity Pricing:
                                                                Mini-pak (200)   $ 15.50 (includes Postage, this package size only)
                                                                     1,000      -     $  35.00 / thou
                                                                      5,000     -     $  25.00 / thou
                                                                     25,000    -     $  21.00 / thou
                                                                     50,000  -       $  19.00 / thou

                    Click Here For  "Mini Pak 200 Space Balls"

Company Name:
Contact: 
Email Address:
Address:
City: 
Province:
Postal Code:
Telephone:

   Size:    1/4"   OR    3/16"

    
Quoted Price by Phone :           
    

Purchase Order Number:   (click here if not needed)

PST Exemption Number: (Ontario residents only)

Shipped:        Mail        UPS    Other:  

Date Requested:                 

ACCEPTING

MasterCard®
{All charges will be billed in CDN $ Funds}
Freight will be calculated when shipped.
Card Type:
Card Number: 1111 2222 3333 4444
Exp. Date: mm/yy
Amount approved                                            ( before shipping charges )***
Name on card:
Address of Card Holder:

*** Shipping Charges:
- Shipping is by your local Postal Service or UPS
- Shipping costs are as quoted by the Couriers Online Estimating Service.
- We do not try to profit from shipping charges
- We insure all of our products by using the Couriers' Insurance Option
- COD costs are extra to shipping costs and range from $ 6.00 to $ 8.00 (CDN or US)

PLEASE CONTACT BLACK BRIDGE ONLINE INC.  
Call or fax at: 1-800-826-8912
IF FURTHER INFORMATION IS REQUIRED
 

Email us.....

 

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 Revised: April 16, 2008.
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