“CIRCULATOR” FOOT MASSAGE MAT
ORDER FORM
for orders from
Please
note: If you are a wholesale customer, please contact us for wholesale
pricing and opportunities.
Prices are in Canadian dollars
Please send me _______Circulator®
foot massage mat(s) at $39.95 each |
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Shipping & Handling: first mat
$6.95 + $1.95 each additional |
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Subtotal |
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Total |
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I enclose full payment in the form
of bank draught money order
Please make cheques and money orders
payable to K. Baggio.
Name
___________________________________________
Address
_________________________________________
_______________________________________________
City
_____________________________________________
Province
_________________ Postal Code _____________
Telephone
( )_____-________ Fax ( )_____-________
Signature
________________________________________________
Mailing address: The Circulator
c/o Baggio
L7C 1G6