MAIL ORDER FORM                     (please print and post this page)

     NAME  _______________________________________________________________
 
     ADDRESS  (Please list a street address for delivery.)

     _____________________________________________________________________
 
     _____________________________________________________________________

     Is this address a    ____ Residence   or   ____ Business ?

     If no one is home when the package arrives, can the package be
      left at the door?    ____ Yes   ____ No

     TELEPHONE ________________________  FAX  ____________________________

     E-MAIL ADDRESS ______________________________________________________

     ** PLEASE ENCLOSE CHEQUE OR EMAIL VISA/MASTERCARD DETAILS WITH ORDER.**
        ALLOW 7 DAYS FOR PROCESSING.