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Order Form

All Prices quoted are in US Dollars

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Order Form

If you are having problem in ordering by our secure credit card facility, you can use the following order form, fill it in and send it to us at the following address. Thank You.

Name: __________________________________________________

Shipping Address:  ________________________________________

City:  ___________________________________________________

State/Province: ___________________________________________

Postal/Zip Code:___________________________________________

Phone: __________________________________________________

Country: _________________________________________________

Product #

Description

Quantity

Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Shipping

 

 

 

Total

 

I am paying by Bank Draft/Cashier Check/Money Order. 

Credit Card ( ) Visa ( ) Master Card ( ) Other __________

Card Number: ________________ Expiry Date ________

Signature: ___________________  Date ______________

For Shipping Charges see here more details. For Overseas orders shipping charges please call us at 1.868.653.0011 or email us: info@moderncaribbean.com

Special Instructions:

 

 

 

 

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Copyright © 2000  by Modern Caribbean Enterprises Limited. All rights reserved.

12-14 Torrance Street, Mon Repos, San Fernando, Trinidad, West Indies.

Tel: (868) 653 0011 Fax: (868) 652 9736.  Email: info@moderncaribbean.com

Revised: 05 Nov 2000 03:53:29 PM .