
Replacement Parts List
NOTE:
If requested color is not available, similar color will be
substituted. Prices are subject to change.
Part
Cost
Quantity Total Cost
Pad Set . . . . . . . . . .$24.99 X ______= $ ______________
Instructions . . . . . . . . .$0.00 X ______= $ ______________
Merchandise Total $ ________________
Shipping and handling:
$ ________________
Sales Tax $ ________________
Residents of Quebec, add 5% GST and 8.5% QST.
Residents of New Brunswick, Newfoundland, Ontario and Nova Scotia, add
13% HST.
Residents of British Columbia add 12% HST.
All other provinces, add 5% GST.
Grand Total $ ________________
No shipping and handling on instructions for quantities under 6. Add $.50 for each
instruction over 6, then add applicable shipping and handling
Up to $25.00 . . . . . . . . . . . .$5.95
$25.01 to $50.00 . . . . . . . .$6.95
$50.01 to $75.00 . . . . . . . .$8.95
$75.01 to $100.00 . . . . . . .$9.95
$100.01 to $150.00 . . . . . .$10.95
$150.01 to $200.00 . . . . . .$11.95
$200.01 and up . . . . . . . . .$13.95
Outside Continental USA $10.00
Fill Out For Credit Card
Visa
Mastercard
Card Exp. Date: ________________________________
Cardholder’s Name: ____________________________
Card Number: ________________________________
Signature ____________________________________
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