Canadian Funds Order Form
MODEL SIZE COST QTY TOTAL
404 Four - 4" x 4" Hand Warmer $40.00 ____ ________
704 Two - 7" x 4" Thermo-Pad $30.00 ____ ________
610 One - 6" x 10" Heat Pack $28.00 ____ ________
610S One - 6" x 10" Split Heat Pack $27.00 ____ ________
808 One - 8" x 8" Thermo-Pad $30.00 ____ ________
818 One - 8" x 18" Thermo-Pad $42.00 ____ ________
Mask One Heat Mask $40.00 ____ ________
808C Zippered cover with strap for 808 $ 8.00 ____ ________
808F Fleecelike cover for 808 $ 6.00 ____ ________
808R One - 8" x 8" pad with cover and strap $35.00 ____ ________
Bed Special Two - 8" x 8" pads and one fleece cover $60.00 ____ ________
Scuba Special Two - 8" x 8" pads, one cover and strap and two hand warmers $75.00 ____ ________
Spectator Pack Two 8" x 8" pads, fleece cover, nylon cover and 4 hand warmers $100.00 ____ ________
TOTAL
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Orders over $200.00 deduct 15%
________
  Air Mail add $10.00
________
G.S.T. add 7%
________
B.C. Residents add 7%
________
TOTAL
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Method of Payment
  Cheque___, Money Order____

Ship To:  Name ________________________________ Phone ____________
            Address __________________________________________________
                 City ________________________ Prov.____ Postal Code _____________

Mail to: Hood Thermo-Pad Canada Ltd.
     5918 Kennedy St.
      Summerland, BC V0H 1Z1
    Ph. 800 665 9555