Order Form for Canadian Customers


Emery's Health Products Order Form for Canadian Customers:
Please select the product you want to order from the pull down menu.
If you wish to order more than one piece, highlight and change the quantity in the respective field.
If you live in Ontario, please click at "ADD PST"

Product
Qty
Unit Price
Ext Price


Subtotal:
ADD PST (Ontario residents only)
8% PST Tax:
ADD $8.00 Shipping and Handling (Flat Rate)
Shipping:
Grand Total:
Orders are shipped upon receipt of payment. Please make cheque or money order payable to:
Emery's Health Products
124 South Drive
St. Catharines ON Canada L2R 4W2
Print this form and mail it with your cheque or money order.
Ship To: *=Required Field
* Name:
* Address1:
Address2:
* City, Province, Postal Code:
Phone:
* Email address:

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