Postal Order Form - Emergency Vectorcardiography
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

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     =  _____
 
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.
 
Mailing Address (Address for Delivery)

____________________________________
name      
____________________________________
hospital name      
____________________________________
department       

____________________________________
____________________________________ 
street address __ home __ business

____________________________________
city province postal code
____________________________________
Country
 
____________________________________ 
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.