Fill in this form and mail it along with your cheque or money to The Eye Fix Group at the address below. Make payment to The Eye Fix Group. Please clearly print your name, address, and postal (zip) code.

Please send to me the following books:

Name of Book	# of Books	Price per Book	Total
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		Total Payment:
You can pay with PayPal... I am paying by (circle one):    Check    Money Order Note: Your order will be processed once deposit is verified Please allow up to 2 weeks in addition for delivery time. Shipping Address: Name: _________________________________________ Address: ______________________________________ City: _________________________________________ Province / State: _____________________________ Postal / Zip Code: ____________________________ Send all orders to: The Eye Fix Group 4675 Steeles Avenue East, Suite 2D6 Toronto, Ontario, Canada M1V 4S5