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ORDER FORM
Please take a moment to fill in the form below.
All feilds are required.
Please print and return this form with your order to ensure a rush delivery.
______ YES, I would like a copy of "The Green Source".
______ YES, I would like rush delivery on my order.
  • Please send $18.00 plus $3.00 s/h for a total of $21.00(usd)
    Make payable to: JMS Global Marketing Inc.
    Suite 111 #132-250 Shawville Blvd. S.E.
    Calgary, AB. Canada T2Y-2Z7
    _ _
  • Name: ___________________________________________________

    Address: ________________________________________________

    City: ___________________________________________________

    State/Prov.: ____________________________________________

    Country: ________________________________________________

    ZIP/Postal: _____________________________________________


    Phone (optional): _______-________-________________




    Cash_______ Check________ M/O_______

    If sending checks, orders will be held until check clears.