Michelle Sevigny

Mail Order Form

995 West 33rd Avenue, Vancouver, British Columbia, Canada V5Z 2K6
Instructions:
  1. Print order form
  2. Complete all necessary information
  3. Make cheque or money order payable to: Michelle Sevigny in Canadian or US Dollars.
  4. Enclose completed form with payment in envelope and mail to:
Michelle Sevigny
995 West 33rd Avenue
Vancouver, British Columbia, Canada
V5Z 2K6

Name:________________________________________________________________________

Address: __________________________________________________________________

City: _____________________________ Province / State: ______________________

Postal / Zip: __________________ Country: __________________________________

Telephone: ( __________ ) _______________ - _________________________



QTY______ The Self-Defense Cookbook(s) @ $20 CDN / $16 US = $ _____________

QTY______ Ultimate Energizer Audio Tapes @ $ 70 CDN / $50 US = $ _____________

Subtotal $ _____________

Canadian Residents Add 7% GST $ _____________

BC Residents Add 7% PST on Audio Tapes Only $ _____________

Shipping (within Canada) $ 4.95 CDN

Shipping (To U.S.) $ 4.95 U.S.

Total _______________


[Cookbook | Audio Tapes | More Info | Order Form | Home Page]