VCL SALES print out order Form

First name: Last name:

Address:

City: Province:

Postal Code: Country:

Contact phone: Email:

Method of payment: Money Order Personal Checking

Visa Master Card American Express

Cardholder number:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expire:_ _/ _ _(mm/yy)

Signature:………………………………………

Subject(for example: Sunglass,…):

Product name	STYLE/SIZE	Quantity	Price	Amount
	(if yes)		$ -	$ -
			$ -	$ -
			$ -	$ -
			$ -	$ -
			$ -	$ -
			$ -	$ -
			$ -	$ -
If you order more than this			total:	$ -
List, please click here for		shipping & handling:
More extra space			tax(7%):	$ -
		Total amount due:		$ -

PLEASE MAKE A CHECK PAYABLE AND MAIL TO:
VCL HOMEBASED BUSINESS

400 Parlarment Street,
P.0. BOX 704
Toronto - Ontario,
M5A 2Z7, Canada

phone: 647 284 1184
email : vcl223@yahoo.ca