Integral Designs: Mail Order Form
Integral

Integral Designs
U.S. Mail Order Form


Print a copy of this form, fill in all details, and fax or mail it to us.


Name: ________________________________________________________
Address: ________________________________________________________
________________________________________________________
________________________________________________________
City: ______________ State:_______________ Zip:_______________
Phone: (H) _______________ (W) ________________ Fax:_______________

Item Description 1st Colour Choice 2nd Colour Choice Mail Order Price
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Zipper Side if applicable _____________ _____________ _____________
Sub Total _____________
USA - UPS Ground  Shipping 10.00
All mail order purchases are prepay only. Total _____________

Please allow 3 to 5 weeks delivery for all custom items. All items will be shipped to the address specified on this order. Orders under $200 are shipped air parcel post.

Method of Payment:
____ Cheque or money order  ____ VISA   ____ Mastercard

Name on card:  ___________________________________________

Card Number:  ___________________________________________

Expiry Date:  _____________  Today''s Date:  ________________


Signature:  ________________________________________________



Integral Designs
5516 3rd Street S.E.,
Calgary, AB, Canada
T2H 1J9
Phone: (403) 640-1445
Fax:     (403) 640-1444
Email:  Info@integraldesigns.com