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ORDER DETAILS
Item Description Quantity Unit Price Extended Price
SS-3010 SUPERSTRIPS®
 (10 per package)

$14.99

I pay GST and PST (ONT)       I pay GST (CA)       I don't pay Sales Tax (US & INT)

  Volume Discounts  
  10+ =10% 

* International Order

Ship via 		Subtotal

Volume Discount

GST (Canada)

PST (Ontario)

* Shipping (CA & US)

* Surface Mail is calculated as follows: First unit @ $10.00 plus additional units @ $2.00. 
Bulk (10 or more units) and International Orders are charged separately according to the Service rate.

SHIPPING DETAILS
* First Name
* Last Name
Title
Company
 * Shipping Address(1)
Shipping Address(2)
 * City
* State or Province
* Country
* Zip or Postal Code
Telephone No.
Fax No.
* E-mail

PAYMENT DETAILS
 I am mailing my Cheque or MO: Yes No, I have a Biospace Account
I want to pay by credit card: Visa Mastercard
I'll phone in my card number: Yes No, details provided below
 ** Credit Card Number:
Expiry Date: mm  yy 
PLEASE PRINT & SAVE RECEIPT FOR YOUR RECORDS.
If "Server Error" appears, please click "Back" and "Place Order" again.
**If you have Security concerns, you can call (or print & fax Form) toll free to:
1-800-592-5286 (Canada & USA) or 905-278-7164 (Local & International).

To order by Mail, please print completed Form and mail with Cheque or MO to:

BIOSPACE CORPORATION
1720 Lincolnshire Blvd.,
Mississauga, Canada L5E 2S7
Tel/Fax (905) 278-7164

E-mail: sales@biospace-corporation.com

Orders are shipped on the day your Cheque, Money Order or Credit Card transaction is cleared by our bank (allow 5 business days). We ship via UPS or Parcel Post to most addresses in North America (allow 5 business days). For multiple and  international orders, confirm shipping charges first (submit form above) or tel / fax 905-278-7164.

Warranty
Home Wholesale Distributor

Sales Rep

 Investor

Wall-Album®, SUPERSTRIPS™, PlayMaker®, Bathbar® & Washbar® are trademarks of Biospace Corporation.
Biospace® is a registered trademark of Biospace International AG. © Biospace Corporation.
All rights reserved. U.S. and International Patents apply or are pending.

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