To Order By Fax Or Mail Please Print This Form

Mail to: Debmar Distributing Inc.,
              17 Wexford Road,
              Brampton, Ontario Canada L6Z 2V9

Fax To: 905 846-5689

SHIPPING ADDRESS Please complete all details BILLING ADDRESS if you are paying by credit card.
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Company Company
Address Address
   
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Phone# Phone#

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Credit Card #_________________________________Expiry Date___________

Signature:____________________________________

  1. Certified Cheque Enclosed_____(if sending by mail)
  2. Money Order Enclosed____ (if sending by mail)
  ITEM # QUANTITY DESCRIPTION PRICE EACH TOTAL
1.          
2.          
3.          
4.          
5.          
6.          
        FREIGHT  
GST*  
HST**  
   
TOTAL  

Thank You For Your Order!

Ontario residents please add 13% HST        British Columbia  please add 12%HST

Newfoundland, Labrador & New Brunswick residents please add 13% HST        Nova Scotia residents please add 15% HST

All other Canadian residents please add 5% GST

U.S. Dollars outside of Canada

SHIPPING RATES FOR  CONTINENTAL NORTH AMERICA

Electrodes Any Sets of 4 - $4.95 each or 6 packs - $8.95    Conductive Gel - $4.95 each or 3pcs - $8.95     RE 40 Electrodes - $8.95 or 3pcs $11.95
Orthogel 3oz Roll On or 4oz Tube - $8.95 each or 3pcs - $11.95  
    Muscle Mist - $8.95 each  or 3pcs - $11.95
9Volt Charger Set - $9.95 each    Facial Flex Ultra -$9.95 each     Facial Flex Renewal Cream - $8.95 each

A Estriol Serum, Defense Drops, Throat & Mouth, Ultra Defend Drops -  $9.95 each or 3 for $11.95
Amino Acid Peptide Spray,  Med Marijuana, Medi Paws, Medi Munchies - $9.95 each or 3 for $11.95

C Pool Mineral Treatment - $17.95 each

Portable Tens Units, Ultrasound, EMS Unit shipping $19.95 each
 Daylight System, UpEasy or Uplift Seat Assist - $24.95 each    Commode Assist - $34.95 each

 

SHIPPING RATES OUTSIDE CONTINENTAL NORTH AMERICA

For Shipping Inquiries Call 1-800-265-3354
or
E-Mail
customerservice@debmar.com for Rate

Transcutaneous Electrical Nerve Stimulation (TENS) Equine Pool Care Products New Products Specials Order Department Home Electrodes & Electro Conductive Garments Electronic Muscle Stimulator Facial Flex Uplift Seat Assist & Upeasy Lifting Cushion Daylight Systems Magnetic Field