• PLEASE NOTE: This is NOT a secure form. Therefore, we do not request any credit card information here.
  • PayPal Transactions:A PayPal invoice will be sent to you by email for secure online payment.
  • Terms and Conditions of Sale
  • Please fill in the order form below, use the submit button to send your order to us, or you can print it out and fax it to us.
  • Upon receipt of your order we will contact you via email, and/or by phone to:
    1. Advise you of product availability, cost and applicable shipping charges.
    2. Arrange payment and delivery after your approval.
Name *
Company
Address
City
State/Province
Zip/Area Code Is this a residence?
Country
Phone Fax
E-Mail *
Payment
NOTE: Open account only for government PO's or customers with a credit application on file.
Product Qty. Price Each Total
$ $
$ $
$ $
$ $
$ $
Sub-Total (Excluding Taxes and Shipping): $
Prices in CDN Dollars.
Special Instructions, Comments or Questions:
Print to Fax
E-mail
Both