CANADIAN ORDER FORM

Last Name .................................... First Name...................................

E-mail ......................................................

Address...............................................................................

City .......................Province.....................Postal.................

Country ....................................Phone ................................

Who introduced you to Mastermoves?......................................................

Postura Bookres®
Read with Pleasure!

Bookrest (Tan Colour: 44.95) ......QUANTITY:______ TOTAL: _____________

GST(6%):_____________

PST(7%):_____________

SHIPPING: ( 10% of TOTAL ) TOTAL: _____________

GRAND TOTAL: ____________

Please print this form and mail it or fax it your personal cheque to:

________________________________________________________

Visa/MasterCard Transaction in CDN$.

Card Number: _______________________ Expiration Date: ________

Fax this form to OK Initiatives, Inc. at (604) 642-6231

THANK YOU!