Print out the following order form (it will print out on a single letter size paper) and either:
- Fax it to: (604) 572-0355
- Mail it to:
THE RELIEF ZONE
1685 H ST PMB 988
BLAINE WA 98230-5110
| Mail or Fax in Your Order Print out the following order form (it will print out on a single letter size paper) and either:
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| Yes, rush me Relaxica. I understand if for any reason I am not 100% satisfied, I can return it for a refund within 60 days. No questions asked. | |||
Name: _______________________________________ |
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| Email: _________________________ | |||
| Company: __________________________________________ | |||
| Address: _______________________________________________________________ | |||
| City: ________________________ | |||
| State/Province: _________ | |||
| Country: ___________________ | |||
| Zip/Postal Code: ________________ | |||
| Phone: _______ - _______- ____________ | |||
Payment Method: |
 Money Order Enclosed |
Check Enclosed |
Credit Card (fill out below) |
Credit Card: |
VISA |
American Express |
Master Card |
| Credit Card #_____________________________ Exp. Date:__________ | |||
| Signature: ________________________________ |
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IMPORTANT NOTE: Please make Checks or Money Orders payable to Kalsitechnic Solutions Ltd. (our parent company). I authorize my credit card to be charged $72.95 ($69.95 plus $3.00 S&H) US funds, for the purchase (and shipment) of the Relaxica(tm). Approx. 3-7 business days delivery time for US & Cdn. orders. Overseas orders will be charged $74.95 ($69.95 plus $5.00 S&H) US funds. Delivery time is approx. 7-12 business days for overseas orders via 1st class registered mail. |
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