JP PBM Order
Form
Name ______________________________
Age _____
Address _____________________________________
City _________________________ State/Prov ______
Postal/Zip ___________________ Phone # _________
Email Address:________________________________
Method of Payment:
[ ] Money Order
[ ] Check *
[ ] C.O.D.**
[ ] PayPal ***
*Checks held for 3 weeks. Bounced check is
$20.00 Surcharge.
** C.O.D. add $5 extra fee plus a 50% deposit. C.O.D. allowed
on refurbished items ONLY!
*** Please add a 3.65% PayPal Service fee (4.65% if Overseas) to
Total
invoice.
(PayPal's
Service
Fee
rate).
Quantity
Description
$/Unit Amount
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Subtotal
______________
Shipping/Handling ______________
(Click for Canada
Post/Purolator or UPS
rate calculators)
$2/$100
(Recommended)
Insurance _______________
Subtotal ________________
(Ontario Only 8% PST) Tax
_______________
(Canada Only
5%
GST) Tax
_______________
Total (Canadian$) _______________
Send orders to:
J.P. PBM Products By Mail
Box #60515 Jane/Wilson P/O
Downsview, ON M3L 1B0
CANADA
Ordering by email:
For US$, multiply total by 1.00
(Exchange Rate = PAR!)
Orders shipped by Courier require an address where the
shipment can be signed for (home or office). No P.O. Boxes
please.