Fax Order Form - Tung's Orthodox Acupuncture

Printout, complete this form and fax or mail to address shown below.
Canada & Overseas

     Caston Enterprises
     19-13085 Yonge Street, Suite 369,
Richmond Hill, ON L4E 0K2
Canada
    
USA

Fax to Canada, please call +1(905)947-4548 
prior to fax

Fax:+1(905) 947 4548
Order

Tung's Orthodox Acupuncture

Hardback Edition:
US  $66.00 x ________ copies = $_______
EU  €54.00 x ________ copies = €_______

Paperback Edition:
US     $50.00 x ________ copies = $_______
EU     €41.00 x ________ copies = €_______
Add P&P (S&H) Charges:

  USA & Canada US$16.00 =  $_______
  Europe & Others US$30.00 or €24.00 =  _______

                            Total    =  _______
Payment Details

I / We have enclosed a certified cheque / money order for the amount of $_____________,
made payable to: Caston Enterprises.


N.B: We Prefer to receive payment via certified cheque or money order. PayPal payments
accepted for confirmed addressess only. For credit card payment, we accept Visa only.
Visa Orders

First Name:___________________________

Last Name:____________________________

Credit Card Billing Address (include Postal Code & Country):

______________________________________
                                                     
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______________________________________
                                                     
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Visa Card #:__________________________

Expiry Date:__________________________

Signature:____________________________
Mailing Address (Address for Delivery)
____________________________________
name      
____________________________________
hospital name      
____________________________________
department       

____________________________________
____________________________________ 
street address __ home __ business

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city province postal code
____________________________________
Country
If You would like to be informed about the Tung's Orthodox 
Acupuncture traing courses & seminars organized by the World 
Tung's Accupunture Association, please fill-in below:
____________________________________ 
e-mail 
____________________________________
Bus. Tel. 
____________________________________
Fax 
____________________________________
Home Tel.
Notice: UPS does not ship to a P.O.Box address. All prices subject to change without notice.