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In Canada:
PBSCO
22968 122nd Ave,
Maple Ridge, BC,
Canada V3C 1A8
logo In USA:
PBSCO
P.O. Box 1421
Stanwood Washington,
USA. 98292
Mail Order Form
To print a copy for mailing, click your browsers print button. Complete the form and mail it with your check, money order or Credit Card information to EITHER ADDRESS listed above.


Name:_________________________________________________

Shipping Address:________________________________________

City:__________________________ State/Prov:________________ Zip/Post:____________

Telephone Number:_________________ Fax:__________________ E-mail:_______________

DescriptionQuantityPriceShippingAmount
Screen Saver Kit (100 Screen Savers)
 
$495.00US
$50.00US
$545.00US
 

SHIPPING:
All orders shipped Federal Express
All orders must include a Street Delivery Address, Name and Telephone Number to ensure delivery.

Prices:
All prices in US Dollars. Please include cheque or money order with your order if not paying with Credit Card.

Card Information:
Card type (VISA, MATERCARD, AMEX)_______________________________________

Name On Card:_______________________________ Card Number:_______________________

Expiration Date:_______________________________ Signature:___________________________

Contact Phone numbers: FAX: 604-941-2927 Telephone: 604-942-9244

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