Nicotrex.com Printable Order Form



Please fill out the following to complete your order:

Name:
Address:
Address #2:
City:
State/Province:
Zipcode:
Country:
Email:
Phone:

Comments/Special Instructions:


Instructions:
Make your cheque or money-order payable to Paradise Promotions Ltd.;
(A) if using Canadian-dollars make it out for TOTAL;
(B) if using US-dollars make it out for TOTAL times 0.25;
then mail it together with this form to:

Paradise Promotions Ltd.
P.O. Box 394
Novar, Ontario, Canada - P0A 1R0