Links For Canada Click Below
Supplies
Printable Order Form For Canadian Customers
156 Enfield Place, Unit 1605, Mississauga, ON L5B 4L8
Tel: 905.270.6459 Fax: 905.858.6840
DUREX® PACKS OF THREE CONDOMS, SOLD
IN CASES OF 144 PACKS.
Sheik Sensi-Creme Cases
@ $____ each= $
Sheik Sensi-Thin Cases
@ $____ each= $
Intense Sensation
Cases
@ $____ each= $
Performax
Cases
@ $____ each= $
Tropical
Cases
@ $____ each= $
XXL Cases
@ $____ each= $
SHIPPING: $15 per case = $
FREE SHIPPING on orders
of four or more cases.
Subtotal = $
TAXES:
NS, NB, NL HST 15% of subtotal = $
All other provinces, GST 7% of subtotal =
$
In provinces other than NS, NB and NL you may
be required to self assess for PST
Total Payment = $
EXPIRY DATE ON OUR STOCK IS
FEB 2008 OR LATER
PRICES SUBJECT
TO CHANGE WITHOUT NOTICE
Mail form with a cheque or payment by wire transfer or Western Union Money Transfer.
Check / money order attached Yes
Your Address
Name:
Phone #
Address:
Postal Code:
Signature: Date:
Copyright © 2003 Quality Condoms VendingLtd. Last modified: 16-Oct-2005