Mail or Fax in Your Order
Print out the following order form (it will print out on a single letter size paper) and either:
  1. Fax it to: (604) 572-0355
  2. Mail it to:

    1685 H ST PMB 988
    BLAINE WA  98230-5110

Yes, rush me Relaxica. I understand if for any reason I am not 100% satisfied, I can return it for a full refund (less s&h) within 60 days. No questions asked.

Name:   _______________________________________

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:__________  CVV #:______

   Signature: ________________________________

IMPORTANT NOTEPlease 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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