Order Form

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
1.      
2.      
3.      
4.      
5.      
 
Total Payment:
 


You can pay with PayPal...
Pay me securely with your Visa, MasterCard, Discover, or American Express card through PayPal!
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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
P.O. Box 45507, 747 Don Mills Road
Toronto, Ontario, Canada
M3C 3S4

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