Order by FAX, Phone or Mail ---- USA and International Order Form

Order by FAX, Phone or Mail ---- USA and International Order Form USA and International Order Form -------- Order by Mail

Fax completed form to: 1 - 877 - 462 - 7452
Call us Toll Free at: 1 - 877 - 245 - 7444
OR
Mail completed form to:
Carlisle Bay Co. Ltd.
PO Box 175
Hickson, ON
N0J 1L0
Canada
I own a Bissell vacuum cleaner

3 HEPA Filters.....................................Please ship me ___ B105-3 HEPA filters @ $29.95 ea. =________
6 Pack Special......................Please ship me ___ B105-6 HEPA Special Packs @ $49.95 ea. =________
12 Pack Super Special..........Please ship me ___ B105-12 Pack Super Special @ $84.95 ea. =________

Shipping and Handling....Approximate delivery times: 14 days via Parcel Post, 7 days (Guaranteed) via XPRESSPOST-USA
Parcel Post = FREE
Optional XPRESSPOST-USA =$6.95

Shipping and Handling = ____________

TOTAL including S&H = ______________
US Funds

Ship To: (Please Print)

Name: __________________________________________________________________

Street: __________________________________________ Apt: __________

Town/City: ______________________________________ State: __________

ZIP Code: ____________

Phone: __________________________

Country.....USA.....Other___________

Payment Information....(Please check one of the following)....Do not send cash by mail.

____ Check No. ____________ enclosed. Please make the check out to Carlisle Bay Co. Ltd.

____ Money order enclosed. Please make the money order out to Carlisle Bay Co. Ltd.