DESCRIPTION COLOUR   Unit
Price		 *Add
Shpg		 Price QTY
Ordered		 EXT.
PRICE
Cherry Berry   $19.99 7.00 $26.99
Buckwheat Hull Pillow - Regular   $49.99 9.50 59.49
Buckwheat Hull Pillow - Small   $29.99 8.00 37.49
Pillow – Travel $19.99 7.00 26.99
Pillow - Small Neck $22.99 7.00 29.99
Pillow – Large Neck $24.99 7.00 31.99
Super Slinger   $24.99 7.00 31.99
Eye Pillow   $12.99 5.00 17.99
Subtotal
Add: (5% GST + 8% PST) 13% Taxes
TOTAL CDN$ PRICE
BILLING INFORMATION
Credit card  Visa / Mastercard
Cardholder name
Card number
Expiration date /
 
Please provide the following contact information:
Name
Home Phone
 
Please provide the following shipping information:
Name
Street address
Address (cont.)
Cit/Prov.
Postal code
Country

By submitting this form, I authorize use of my above credit card for the amount of this order.  All orders are shipped via Canada Post Ground service upon authorization of credit card information (usually within 24 hours).

Stated prices are in Canadian Funds. All sales carry a 1 year warranty on workmanship only. No returns/refunds due to sanitary reasons.

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