“CIRCULATOR” FOOT MASSAGE MAT

GENERAL ORDER FORM

 

            Please note: If you are a wholesale customer, please contact us for wholesale pricing and opportunities.

 

Currency

Price per mat

Shipping & Handling

first mat

each additional

US$

39.95

9.95

2.95

19.00

8.50

2.80

€

28.00

12.60

4.20

AUD

48.00

21.50

7.00

¥

4170.

1870.

620

 

Check the currency you wish to use: 

 US$    ₤, British Pound    €, Euro    Australian dollar    ¥, Japanese Yen

Please send me _______F.M. Circulator® foot massage

 

 

 

Shipping & Handling

 

 

 

Total

 

 

 

I enclose full payment in the form of     bank draft      money order   

Please make drafts and money orders payable to K. Baggio.  

Please do not send personal cheques.

 

Name

 

Address

 

 

 

City

 

Region

 

Postal Code

 

Country

 

Telephone

 

Fax

 

Email

 

Signature

 

 

 

Mailing address: 

The Circulator

c/o Baggio

6078 Old Church Rd.

Caledon East, ON

Canada   L7C 1G6