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#438-6540 E. Hastings St.
Burnaby, B.C. V5B 4Z5
Phone: (604) 942-2024
Fax: (604) 942-2041
www.fasbookshelf.com

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Name:____________________________________________________ Organization:__________________________
 
Address:_______________________________________________________________________________________
 
City:_______________________ Province/State:______ Country:___________________ Postal Code:____________
 
Phone:(____)__________________ Fax:(____)__________________ E-Mail:________________________________
 
****All prices are in Canadian Currency****
Item Number
Item Name
Quantity
Unit Price
Total
 B-102   Tough Kids and Substance Abuse: a drug awareness program for children and adolescents with ARND, FAS, FAE and cognitive disabilities     $15.00   
   
 
 
 
   
 
 
 
   
 
 
 
   
 
 
 
Subtotal  (A)
Add 10% Shipping & Handling 
Canadian Residents - $3.00
Minumum/$100.00 Maximum 
U.S. Residents - $7.00 Minimum/$100.00 Maximum 
International Orders, please contact us for shipping details 
(B)
Subtotal  Add (A) & (B)  (C)
Canadian Residents Add applicable GST or HST on Subtotal C  (D)
**B.C. sales must add 7.5% Provincial Sales Tax on any** starred (non-book) items  (E)


All orders must be prepaid

Payment by: ___Visa ___MasterCard ___Cheque ___Money Order

Total  Add (C) & (D) & (E)  
Card Number
 
 
 
 
X
 
 
 
 
X
 
 
 
 
X
 
 
 
 
Expiry Date_______/_____YY
Card Issued To:______________________________
Signature:______________________________
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