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:
9% ($9.00 minimum) in Alberta;
10% ($10.00 minimum) elsewhere in Canada;
$10.00 minimum to USA		  

Minimum $9.00

                          (Shipping charges not necessary if picking up order at showroom.)
                                          Use separate sheet if necessary. Total Goods + Delivery =
                                        (Business Registration / GST #: 124897950) 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: _______________________________