Science Is...   Order Form
Print a hard copy of this form, fill in by hand (neatly please!), then mail or fax to us. 
If you are unsure of the total, please contact us.
Mail to: Science Is... P.O. Box 64291, Calgary, Alberta T2K 6J0
Or fax to 403-547-0235 or send an e-mail to: pastirik@science-is.com
Telephone orders or questions can be made to 403-547-4422.

BILLING INFORMATION: (Please print clearly)
Date: ________________________ Purchase Order: ______________________
Name: ____________________________ School (if applicable): _________________________
Address: ___________________________________________________________
City: _______________ Province: _____ Postal Code: _____________
Telephone: __________________ Fax: ___________________

DELIVERY ADDRESS (if different from above):
Name: __________________________ School (if applicable): __________________________
Address: __________________________________________________________
City: ________________ Province: ____ Postal Code: _______________

STOCK #:

ITEM DESCRIPTION:

# OF ITEMS:

PRICE PER ITEM:

TOTAL:

SHIPPING* (Subject to change / oversize charges)

 Pickup in showroom: no charge                                 Calgary Delivery Rate* (any size of order): $12.00       Alberta outside Calgary: 10% ($12.00 minimum)
Elsewhere in Canada: 10% ($15.00 minimum)
USA: $15.00 minimum		  

Minimum Shipping* $12.00

* Shipping charges not necessary if you are picking up the order at our showroom.
Use separate sheet if necessary.                                              Total Goods + Delivery =    ____________
(Our GST #: 124897950)                                 For Canadian orders, add GST / HST =    ____________
                                                                                                               Grand Total =    ____________
GST for Canadian orders is 5% as of January 1, 2008.  We do not charge PST.  
Incomplete Order Forms (including insufficient shipping charges) cannot be processed.
Please call if there are any questions or concerns (we are quite friendly.)

Visa Card #: ___________________________________    Signature: __________________________
(We regret that we cannot accept any credit cards other than Visa at this time.)
Expiry date: __________________              Print Name on card: _______________________________