CYCLE
CHECK
(ORDER FORM)
$69.95 (US) $99.95 (Cdn)
The date you are writing this is: _____________Time: _________________AM./PM.
Number of items wanted ________ times $________U.S.= __________
or Number of items wanted _______ times $________CA=__________
Minnesota Residents only:
add 6.5% Forwarding warehouse handling terminal charge .........______
In the U.S.A.
1 Day: Next day air U.P.S. add 37.75 anywhere in the U.S. ____________________
2 Day: Second day air U.P.S. add 22.00 anywhere in the U.S. __________________
3 Day: Select air U.P.S. add 19.59 anywhere in the U.S. ______________________
In Canada
1 Day: Express 29.20 (CDN) anywhere in Canada __________________
2 Day: Expedited air 25.20 (CDN) anywhere in Canada ______________
3 - 5 Days: Standard 19.15 (CDN) anywhere in Canada ______________
Send U.S. Funds Only for purchases fron the United States.
DO NOT SEND CHEQUES. MONEY ORDERS ONLY WILL BE ACCEPTED.
Go to your nearest fast food store, bank or post office and make money order payable to:
International Pharmaceuticals.
Send to:
APM SHIPPING COMPANY
1825 Main Street
Winnipeg, Manitoba, Canada R2V 2A4
Or order via e-mail: advanced@escape.ca
1 800 877-5097
If you have any questions just call 1 800 877-5097. We will gladly answer.
As an addition to our Customer Assurance and Protection Program:
To ensure speedy delivery do not send by registered mail.Instead: Please send Money order
via U.P.S. so you will have a tracking # to know when we received it. Just call U.P.S. and they will come to your door. It will only cost $19.00 Express letter
rate from the U.S.A., or $6.00 for 5 day U.P.S. letter delivery in U.S.A., ($6.70 Standard
Service in Canada). You don't have to buy the stamps or go to a mailbox and you will have
peace of mind.
First Name_________________________Last Name______________________________________
Address ________________________________________________________________________
City _____________________________ State__________________________________________
Country __________________________ Zip Code_______________________________________
Telephone (Eve):___________________________Telephone (Day):__________________________
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