***Print this form and fill it out.***
Customer information
Name: ____________________________________________________________
Street: ____________________________________________________________
City: ____________________ Province/State: ____________________________
Postal Code/Zip: ______________________ Country: ______________________
Calculations
U.S. Dollar:
Quantity of books ordered ___ x 18.40* = total $___________________USD
*$18.40 includes $0.95 in Federal tax and $3.95 for shipping and handling.
Canadian Dollar:
Quantity of books ordered ___ x 24.15* = total $___________________CND
*$24.15 includes $1.25 in GST and $4.95 for shipping and handling.
No refunds.
Payment type (please check the type of payment you will be submitting):
__ Check __International Money Order __Cash
Please make checks and money orders payable to: Jim Soliski
Sending Payment
Please send this order form and payment to:
Western Publishing
Box 41
Edmonton, Alberta
T5J 2G9
CANADA
Thank you for your purchase of Does Your Meter Work?!
www.doesyourmeterwork.com