ENTER the information below, then PRINT this ENTIRE PAGE out and send with your Money Order.
British Columbia Order Form

First Name:
Last Name:
FragranceX.com - Up to 80% off perfume and cologne Mailing Address:
City:
Province: British Columbia Postal Code:
Telephone: ( 604 ) - Ext.
Email Address:
We will notify you by email when your payment is received and order has been shipped.



Signature: ___________________________________________________________________
I hereby certify that I am at least 18 years old and have requested the merchandise at my own will. By making this purchase, I have read and have agreeed to the terms and conditions stated within this web site.
IMPORTANT: Your order will be DELAYED or REFUSED if you do not sign the age certification above.

Indicate how many of each product you wish to order in the 'Qty' column, then press the 'Tab' key on your keyboard. The Sub-Total amount will be calculated automatically.
QtyVersionDescription PriceTotal
MaxPheromone Pheromone Fragrance Additive (5ml - unscented) CAD$59.95
INVISIBLE Pheromone Spray
(10ml - unscented)		 CAD$79.95
For MEN Attracts WomenSecret Weapon MaxPheromone - For MEN Attracts Women (1ml - unscented) CAD$15.95
UnisexFeng Shui Unisex Pheromone Attractant (1ml - scented) CAD$12.95
UnisexFeng Shui Unisex Pheromone Attractant Roll-on (10ml - scented) CAD$59.95
3 Pheromone Products SUPER BUNDLE Sale! CAD$119.95
Plastic Funnel - 23 mm diameter CAD$3.95
Boston Rounds 2 oz. Cobalt Blue Glass Mixing Bottle CAD$7.95
2 oz. Cobalt Blue Glass Mixing Bottle and Plastic Funnel Set CAD$9.95
Insured Canada Post Expedited S/H
ONLY CAD$11.95 for ANY size order!		 CAD$11.95
Sub-Total CAD$:

Just enter the Sub-Total amount (from above) into the 'Sub-Total' field below, then press the 'Tab' key on your keyboard for your CAD$ TOTAL.

Sub-Total 12% HST Send TOTAL CAD$
CAD$ + CAD$ = CAD$ TOTAL

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Please send a Money Order in CANADIAN FUNDS payable to:

Our Mailing Address.

THANK YOU for your order!




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