Canada & Overseas
Caston Enterprises
19-13085 Yonge Street, Suite 369
Richmond Hill, ON L4E 0K2
Canada
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USA, Fax to Canada, please call +1(905)947-4548
prior to fax |
Order
Emergency Vectorcardiography
US $79.95 x ________ copies = $_______
UK £49.95 x ________ copies = £_______
Add P&P (S&H) Charges
USA & Canada $12.50 = $_______
International $17.50 = $_______
£ 9.50 = £_______
Total = ________
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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.
Signature ________________________________
date ___________
Print name ________________________________
Tel# ________________________________
(in case we need to contact you)
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Mailing Address (Address for Delivery)
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name
____________________________________
hospital name
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department
____________________________________
____________________________________
street address __ home __ business
____________________________________
city province postal code
____________________________________
Country
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e-mail
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Bus. Tel.
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Fax
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Home Tel.
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