Plasteek Groover Order Form			Page 1 of 2

Print this form and FAX OR PHONE YOUR ORDER TO:
(1) (250) 338-7904

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Quantity	Description		Price	Total

____________Single Cut Groover	 	 $65	____________
____________Double Cut Groover		$130	____________
____________Triple Cut Groover		$190	____________
____________Mini Stealth Groover 
            (tight spots)                $65	____________
____________Super Stealth Groover
            (Our most popular model)	$150	____________

		SUBTOTAL 			$___________
		ADD APPLICABLE TAXes*		$___________
						$___________
		ADD SHIPPING			$___________
		GRAND TOTAL ---------------->>>	$___________
*TAX:
Canadian Orders add 6% GST and 7% PST 
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SHIPPING AND HANDLING COST:
Quantity 1-4 Groovers add Canada $15.00 
			  US     $20.00
Quantity 5-12 groovers add Canada$25.00 
			   US    $30.00

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Select DESIRED GROOVE DEPTH (bit size) CHECK ONE:
7/8"___	     1 1/8"___














Plasteek Groover Order Form			Page 2 of 2




Credit Card information
We accept Visa only
    
Name on card: __________________________________________________ 
Card Number: _____________________________________
Expiry Date: ______________ / ________ / Signature: _______________________ 
		Month		Year  		
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SHIPPING INFORMATION: 
Name: ___________________________________________________________ 
Company Name: ____________________________________ 
Shipping Address: ________________________________________________________________ 
City: _______________________________  Prov/State: ______________________ 
Zip/Postal Code: __________________ 
Telephone: ______________________________    Fax:______________________ 
Email: ____________________________