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(Print Me Now!)

B.C. TROPICAL SHELL CO.
/ TROPITEK
107 - 5219 192nd Street, Surrey, BC, V3S8E5, Canada.
Tel.(604) 5745060 - Fax. (604) 574-7060 - email: sales@bctropicalshells.com

 Ship To:

Company Name:_______________________________________________ Customer Code__________

Contact Name:______________________________________________________________________

Address:__________________________________________________________________________

City:_____________________________________ Province/State____________________

Postal/Zip________________ Country______________________

Telephone:(_______)_______________________ Fax number:(_______)______________________

E-Mail:______________________________________ P.O.Number:______________________________

Quantity

Code Number & Description

Price Each

Total

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Subtotal $______________
Terms Of Payment: (tick one) Shipping $__see_below___
VISA_____, MC_____, AMEX_____,
On Account_____(Established Approved Customers Only)
Total $___.T.B.A.___

Credit Card #:_______________________________________________
Expiry Date:_______________

Signature: ______________________________________________ all orders must be signed.

* 7% gst will be added to all orders shipped within Canada.
** 15% hst will be add to all altantic province's in Canada.
*** A PST number is required for B.C. Customers only. _____________.
**** Shipping charges vary on each order. We will charge you the exact shipping cost.
***** We will ship via the cheapest means unless specified._________________________.
****** On all international orders duties & taxes are the purchaser's responsiblity.
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