Mail Order
Mail Order Page
SHIPPING INFORMATION
*** Please choose international shipping if you are outside the USA ***
Contact Person: ________________________________
Phone Number:________________________________
Email Address: ________________________________
Delivery/Mail Address: ________________________________ ___________________________________________
PAYMENT DETAILS
Please make all bank drafts and money orders payable to: “Pro Edge Labs Inc. “Notice: All payments must be made in USD (US $) only. We accept the following forms of payment (U.S. funds only):
credit/debit card
cashier’s check or bank draft
money orders
Note: We do not accept personal checks or COD’s.
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If paying by credit card – Please select the credit card type used for this order:
MasterCard
Visa
American Express
If you are paying by credit card, please fill in the required information below:
Card Number: ______________________
___________________
Card Expiration Date (MM/YY):
Name as it appears on card:
__________________________________
Credit Card Street Address:
__________________________________
Credit Card City, State:
__________________________________
Credit Card Country:
__________________________________
Credit Card Zip/Country Code:
__________________________________
Cardholder Signature:
________________________________________
*** NOTE *** We never automatically ship more boxes to you and bill your credit card unless you reorder.
*** Please choose international shipping if you are outside the USA. ***
Please select your shipping cost option below: NOTE – FREE SHIPPING ON ORDERS OF 4 OR MORE BOXES
FedEx
Ground 3-5 Days – $12.95 (USA) *Full tracking
FedEx
Express 2-3 Days – $17.95 (USA) *Full tracking
USPS Global Priority Mail (INT) 5-7 Days –
$28.95 (No Tracking)
FedEx International Priority (INT) 3-5 Days –
$30.95 (Full Tracking)
QUANTITIES
Item Code
Description
Price in US$
Quantity (Please Specify)
001
1 bottle
$49.95
______
002
2 bottles
$84.95
______
003
3 bottles
$119.95
______
004
4 bottles
$154.95
______
005
5 bottles
$189.95
______
006
6 bottles
$224.95
______
009
9 bottles
$298.95
______
Please print this form, complete all required information and mail to:
Pro Edge Labs Inc.
5018 Lochside Dr
Victoria BC V8Y 2E7
Canada