Printable Order Form

Fill out this Order Form and mail or fax to: (306) 652-2900
Biomed Recovery & Disposal Ltd.
P.O. Box 334
Aberdeen, SK, CANADA
S0K 0A0
Fax: (306)253-4338
Phone: (306)253-4476
E-mail:biomed@sasktel.net
Web: http://www.biomedwaste.com


Name/Company/Organization :

Street :

City/Town :

State/Prov :
Country :
Zip/Postal Code :
Telephone :
Fax :
E-mail :



Total Price :___________

Ship By : Post Office Surface
Post Office Air
UPS Ground
STC/SK(Saskatchewan Transport Corporation),
      Greyhound/CANADA
Purolator Courier[CANADA]
Payment : MasterCard
Visa

American Express
Bank Check or Bank Money Order

Credit Card Number : - - -
Expiration Date : -

Signature : _______________________________

(For All Credit Card Orders)