Barrage Store Order Form

First Name: Last Name:
Address:
City: State:
Zip Code: Country:
Phone:
(required) 		E-mail:


Description Item # Qty Unit Price Total Price
      S&H*
      Subtotal
      Taxes
      Total

Method of Payment

 Check        Money Order        MasterCard        VISA       

Card Number:   Expiration Date: 

Name on Card: 

 
Signature:_______________________________________________________________


 

 --- Complete the form then use your browser PRINT button ---

       

  • *Add $4.00 shipping and handling for the first item and $1.50 for each additional item
  • *International orders (outside Canada and the US) add an extra $8.00 U.S. for shipping
  •  Only Canadian orders need add tax --5% GST (include S&H)
    • Make checks payable to:

    Barrage Store

    		 Send check or money order to:

    Barrage Store
    24-3710 Westwinds Dr NE
    Calgary, AB  T3J 5H3
    Canada

    Fax Credit Card orders to:

    403-531-6133