Integral Designs |
| Name: | ________________________________________________________ | |
| Address: | ________________________________________________________ | |
| ________________________________________________________ | ||
| ________________________________________________________ | ||
| City: ______________ State:_______________ Zip:_______________ | ||
| Phone: | (H) _______________ (W) ________________ Fax:_______________ |
| Item Description | 1st Colour Choice | 2nd Colour Choice | Mail Order Price |
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| _____________________________ | _____________ | _____________ | _____________ |
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| _____________________________ | _____________ | _____________ | _____________ |
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| _____________________________ | _____________ | _____________ | _____________ |
| Zipper Side if applicable | _____________ | _____________ | _____________ |
| Sub Total | _____________ | ||
| USA - UPS Ground | Shipping | 10.00 | |
| All mail order purchases are prepay only. | Total | _____________ | |
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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: ________________
| Integral Designs 5516 3rd Street S.E., Calgary, AB, Canada T2H 1J9 Phone: (403) 640-1445 Fax: (403) 640-1444 Email: Info@integraldesigns.com |