ORDER FORM

Postal 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
Mail to Canadian Address

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 =  $_______

  International 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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Visa Card #:__________________________

Expiry Date:__________________________

Signature:____________________________

Mailing Address (Address for Delivery)

____________________________________
name

____________________________________
hospital name

____________________________________
department       

____________________________________

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street address __ home __ business

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city province postal code

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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:

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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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