Printable Order Form

   Mail/Fax Order Form

Date:__________________________
 
Bosity.com
Ship To:   Bill To: Same as Shipping info on the left
Name: _____________________________   Name: _____________________________
Company: __________________________   Company: __________________________
Address: ___________________________   Address: ___________________________
_____________________________   _____________________________
City: _________ State/Province: ________   City: _________ State/Province: ________
Zip:___________ Phone: ______________   Zip:___________ Phone: ______________
Country:  ___________________________   Country:  ___________________________
Email:______________________________    
Quantity Item SKU / Code Unit Price Subtotal
         
         
         
         
         
         
Shipping: Standard Express
Subtotal:  
Shipping:  
Tax*:  
Total:  
     
Method of Payment:    
Please charge my credit card:  
Mail to: Suntek Solutions Inc.
35 Michelina Terrace
Markham ON L6B 0B2
Canada
 
 
Fax to: 1-877-513-3866
     VISA MasterCard AMEX
  
    Card Number: ________________________  
    Exp.Date(Month/Year): _________________  
    Signature: ___________________________  
Bank Wire Transfer    
Money Order or Check