WALL-ALBUM® - Free

mc-b.gif (1147 bytes) Please send one Wall-Album FREE for every 10 ordered! visa-b.gif (1087 bytes)

Fridge Edition

$24.95

Quantity

Subtotal

 Mixed Edition

$24.95

Quantity

Subtotal

Landscape Edition

$29.95

Quantity

Subtotal

Collector Edition

$24.95

Quantity

Subtotal

Business Edition

$29.95

Quantity

Subtotal

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

Total Amount of Purchase:

SUBTOTAL (Add Subtotals above)
Add 6% GST (Canada)
Add 8% PST (Ontario)
Add $6 Shipping each* (US & Canada) (*Confirm >2 & INT Orders first)
TOTAL

Ship to: ( * denotes required field)

* 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

I will pay for my order as follows:

*Confirm Shipping for two or more Units: (Reduced Shipping Charges apply)
*Confirm Shipping for International Order: (Surface or Air Parcel Rates apply)
 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, Number & Expiry Date provided below
Credit Card Number**:
Expiry Date:
YOUR E-MAIL RECEIPT WILL ISSUE WHEN YOU "PLACE ORDER"

NOTE: 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
P.O. Box 88566, 34 Southport Street
Toronto, Canada M6S 4Z8
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.

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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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