Ear Gear Order Form

Fax Credit Card Info
 
1-250-766-9099

OR

 Mail Credit Card Info, Check or Money Order :
Ear Gear
11651 McGowan Rd.
Lake Country B.C.
Canada V4V1J2

**If sending money order from U.S., please use international money order.
Ear Gear Models (Prices USD)
Original $25.95 Mini Curved Mono $24.95
Original Cordless $24.95 Mini Square $25.95
Original Mono $24.95 Mini Square Mono $24.95
FM $25.95 Mini Square Cordless $24.95
FM Cordless $24.95 Cochlear $45.95
FM Mono $24.95 Cochlear Cordless $45.95
Mini Curved $25.95 Cochlear Mono $35.95
Mini Curved Cordless $24.95 Cochlear Mono Cordless $25.95
    Ear Gear Case $7.00

Ear Gear Color Choices

Camouflage
Lime
Black
Orange / Red
Pink / Purple
Red
Royal Blue
Sky Blue
Yellow
Beige
Grey
Chocolate Brown
Lipstick Pink
Forest Green
Write the model, color, quantity, and price below:

Model

Color

Quantity

Price

 

      
       
       
       
       
       
       

SUBTOTAL

  

GST (5% for Canadian Residents)

 

PST (7% for BC Residents)

 

Shipping & Handling

$5.00 

TOTAL

  

Payment Method

Credit Card __    Cheque __    Money Order __

Mastercard __    Visa __
 
Cardholders Name ________________________ 

Number ________________________________
 
Expiry      Month ________  Year ____________

Mailing Address:

Name ________________________________________

Phone _________________________________

Email __________________________________

Street Address ____________________________

______________________________________

City ___________________________________

State/Prov ___________ Zip/Postal Code  _______
 
Make Cheques and Money Orders out to: Ear Gear