ORDER FORM www.energyoflife.ca Live order entry operation 1-888-994-6495; 1-646-429-1985 (tel/fax). Send form through fax 1-888-994-9495; Send form through E-mail sales@energyoflife.ca; Send form through mail CANADA: 1057 Steeles Ave. W., P.O. Box 81768, M2R3X1, Toronto, ON, Canada. USA: 130 Church Street Suit 366 New York, NY 10007 USA. EUROPE: Maybach Str.16 Recklinghaysen 45659 Germany. Payable to ENERGY OF LIFE.
 SHIP TO:
  * FIRST NAME * LAST NAME
COMPANY NAME * STREET ADDRESS * CITY
* STATE/PROVINCE * ZIP/POSTAL CODE * COUNTRY
E-MAIL * PHONE#
CODE DESCRIPTION QUANTITY PRICE TOTAL
METHOD OF PAYMENT:
PERSONAL CHECK
(order ships after check clearance)
CERTIFEID CHECK OR MONEY ORDER
CREDIT CARD 		Subtotal:
Flat shipping rate:
Regional shipping tax:
Total:


CREDIT CARD#:
EXPIRATION DATE:


SIGNATURE
 METHOD OF SHIPPING:
USA, CANADA, EUROPE
XPRESSPOST (2 to 5 days) or
GroundPost (4 to 7 days)
Flat shipping rate only
INTERNATIONAL: Airmail (7 to 14 days)
Flat shipping rate plus regional shipping tax 		FLAT SHIPPING RATE:
FROM $1 TO $10 = $5
FROM $10.01 TO $50 = $10
FROM $50.01 TO $100 = $15
FROM $100.01 TO $147 = $20
FROM $147.01 TO UP TO = FREE!
REGIONAL SHIPPING TAX
It is calculated as a percentage of the total price of the products you order and depends on your country:
25% - Austria; Anguilla, Argentina, Brazil, Chile, Costa Rica, Dominican Republic, Ecuador, Jamaica, Mexico, Uruguay, Venezuela; China, Hong Kong, India, Israel, Malaysia, Singapore, South Korea, Taiwan, Thailand, Turkey.
25% - Australia, New Zealand, Japan.
25% - All other countries not listed above.