Cheque - M/O - Visa Order Form  - Canadian Funds

Name

Address

Address

City
Prov/PC PC
Phone #
Email  

I respond by e-mail to update you on your order - when sent

Power Plus MPG

 Quantity: x $50.00 =

Extreme Power Plus

 Quantity: x $15.00 =

Cortaway 30

Quantity: x $10.00 =

Hoodia Juice

Quantity: x $15.00 =

Colon Cleanser

Quantity: x $15.00 =

N-Control

Quantity: x $20.00 =

Pick Bonus bottle('s)

If bonus promotion on

Sub Total 

 PRE-Sub Total 

Shipping is FREE for orders above $100 ( before GST )

GST R133785204

Shipping Under $100 orders + $8.00

Signature on delivery ADD $1.50

Sub Total 

   ADD 6% GST to Sub Total 

TOTAL

Payable to BDL Motorsports

Cardholder's Name

VISA/MC# (16 digits)

 

 

 

Cardholder's  Signature 

 

expiry date I do Authorize BDL Motorsports/ Mr. Dent to do a one time charge to my Visa or MC  for the amount of  $

___________________________ written signature please  

 

Mail to: BDL Motorsports,  Callingwood RPO , P.O. Box 78009  Edmonton, AB  T5T 6A1     

OR        fax to 780 642-1053

Payment Amounts for Products ( Some products not included in this price list )

If you order different combinations of product just remember that shipping is needed for orders under $100.00 and shipping is free for $100 and up orders before GST ( 6% ) is added. Please try to add correctly to prevent any delays on processing your order.

Payment Amounts for Products ( Some products not included in this price list )

# of bottles

Price

S & H Xpresspost

6% GST

 NEW CND  TOTAL

1

$17.00

$8.00

$

$

2

$34.00

$8.00

$

$

3

$51.00

$8.00

$

$

4

$68.00

$8.00

$

$

5

$85.00

$8.00

$

$

6

$102.00

FREE! $ $

7

$119.00 FREE! $ $

8

$136.00 FREE! $ $

 

# of bottles

Price

S & H Xpresspost

6% GST

 NEW CND  TOTAL

1

$18.00

$8.00

$

$

2

$36.00

$8.00

$

$

3

$54.00

$8.00

$

$

4

$72.00

$8.00

$

$

5

$90.00

$8.00

$

$

6

$108.00

FREE!

$

$

7

$126.00

FREE!

$

$

8

$144.00

FREE!

$

$