Bookstore Order Form

Bookstore Mail-in Order Form

Cut here

By Mail:
Please type or print legibly in black ink.
Be sure to sign and date this form.

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(Important: all orders are final)
Name __________________________________________________
Address ________________________________________________
City ____________________ Prov/State ______________________
Country _____________________ Zip/Post Code _______________
Phone (_____)______________ Fax (_____)________________
E-Mail ________________________
Please list stock numbers:
Stock no ________ Stock no ________ Stock no ________ Stock no ________
Stock no ________ Stock no ________ Stock no ________ Stock no ________
Stock no ________ Stock no ________ Stock no ________ Stock no ________
Date ____________ Total Postage: Canadian funds $ ______________________
^{Add Shipping and handling fee: 15% to Canada and USA, 20% or at cost
(whichever is higher) for all other countries, plus duties/fees if applicable.}
Total amount (CAN. funds) enclosed including postage
payable to NCHC Ltd. (Natural Chinese Herbs Company) is:
$ ____________________
^{Please make check or money order is payable to NCHC Ltd. (Natural Chinese
Herbs Company)}
Fax your form to:
International College of Traditional Chinese Medicine of Vancouver
(604) 731-2964
Mail your form to:
International College of Traditional Chinese Medicine of Vancouver
Suite 201, 1508 W. Broadway,
Vancouver, B.C. Canada V6J 1W8
I am paying NCHC Ltd. by: (Please check which item applies)
Cheque _____ Money Order _____ Visa _____ MasterCard______
Card # ________________________________ expiry date ____________ (mm/yy)
Signature: __________________________________________________________

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