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Order Form |
mail to:
Inspired Creations Highway # 3, RR 1, Rock Creek, BC,
Canada V0H 1Y0 |
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Note: the
prices include customs clearance to Canada and include HST. |
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Ship to: Phone Number ( ) ______________________________ |
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For N0N-US customers only. Prices are in Canadian $$. Questions: 250-446-2455 Orders: 1-800-9097284 |
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DATE |
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PHONE: |
Credit Card Number |
circle one: |
Exp.date |
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Visa / MasterCard / cheque |
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QTY. |
Product DESCRIPTION |
UNIT PRICE |
TOTAL |
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PASCALITE - 16 oz Dispenser |
$ 29.95 |
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PASCALITE - 8 oz Dispenser |
$ 29.95 |
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PASCA-PAK poultice 6 oz |
$ 29.95 |
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PASCA-Balm ointment 6 oz |
$ 29.95 |
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PASCA-Glow soap 1 bar |
$11.95 |
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MORE PRECIOUS THAN GOLD (Pascalite history by Ray Pendergraft) |
$ 22.95 |
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NON-PASCALITE
PRODUCT: Wolfgang's Oleo MenthaÔ (essential oil - fast acting pain killer for arthritis and migraine pain; external application - 100% money back guarantee) |
$ 29.95 |
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SHIPPING & HANDLING: Calculate $9.95 for BC and Alberta, for the first item, then add 95c per additional item; Sask $10.95 for first item; $ 10.95 first item to Manitoba; $ 11.95 first item Ontario/Quebec; first item to Maritimes: $12.95; always add .95 c per additional item. Postal rates are subject to change. GST charge in the above rate. A Transportation surcharge by the post included. Subtotal: AUTHORIZED SIGNATURE FOR CREDIT CARD CHARGE: _____________________________________ TOTAL DUE |
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Inspired Creations is
not prescribing, diagnosing or in any way giving medical advise. For professional health service, see your primary health care provider. We love Pascalite ! |
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For orders
within the |