Order Form

mail to: Inspired Creations Highway # 3, RR 1, Rock Creek, BC, Canada V0H 1Y0
PHONE: (250) 446-2455 CANADIAN ORDERS ONLY: 1-800-909-7284

Note: the prices include customs clearance to Canada and include HST.

Ship to:

 

 

 

 

 

 

Phone Number ( ) ______________________________

 For N0N-US customers only. Prices are in Canadian $$. Questions: 250-446-2455 Orders: 1-800-9097284

DATE

 

PHONE:

Credit Card Number

circle one:

Exp.date

 

 

 

 

Visa / MasterCard / cheque

 

QTY.

Product DESCRIPTION

UNIT PRICE

TOTAL

 

PASCALITE - 16 oz Dispenser

$ 29.95

 

 

PASCALITE - 8 oz Dispenser

$ 29.95

 

 

PASCA-PAK poultice 6 oz

$ 29.95

 

 

PASCA-Balm ointment 6 oz

$ 29.95

 

 

PASCA-Glow soap 1 bar

$11.95

 

 

MORE PRECIOUS THAN GOLD (Pascalite history by Ray Pendergraft)

$ 22.95

 

 

NON-PASCALITE PRODUCT:

Wolfgang's Oleo Mentha (essential oil - fast acting pain killer for arthritis and migraine pain; external application - 100% money back guarantee) 

$ 29.95

 

SHIPPING & HANDLING: Calculate $9.95 for BC and Alberta, for the first item, then add 95c per additional item; Sask $10.95 for first item;  $ 10.95 first item to Manitoba; $ 11.95 first item Ontario/Quebec; first item to Maritimes: $12.95; always add .95 c per additional item. Postal rates are subject to change. GST charge in the above rate. A Transportation surcharge by the post included. Subtotal: 

AUTHORIZED SIGNATURE FOR CREDIT CARD CHARGE: _____________________________________                                  TOTAL DUE

 

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Inspired Creations is not prescribing, diagnosing or in any way giving medical advise.

For professional health service, see your primary health care provider. We  love Pascalite !

For orders within the United States: mail with cheque or money order in US-funds to: Pascalite Inc., P.O. Box 104, Worland, WY 82401 or phone: (307) 347-3872 for US price structure.