Resperin Order Form: Canadian
Just fill in the required information, print and mail or
Mail to: Resperin™ Canada Ltd.
420 Erb St. W. Suite 5-209
Waterloo, Ontario, Canada, N2L 6K6
Fax: 1 (519)
Prince Edward Island
1 Bottle Resperin's Caisse Formula Tea - $65.00
2 Bottles Resperin's Caisse Formula Tea - $130.00
3 Bottles Resperin's Caisse Formula Tea - $195.00
4 Bottles Resperin's Caisse Formula Tea - $260.00
5 Bottles Resperin's Caisse Formula Tea - $325.00
orders processed in Canadian Funds and all local taxes are included)
If paying with Visa or Master card, fill in the
following additional information.
Expiration: mm yy
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