MAIL TO:
   Adiefare Enterprises Ltd.,
   4604 Albert Street,
   Burnaby, B.C., - CANADA V5C 2G8

ORDER FORM (please print)

Name:__________________________________________________________________

   Address:________________________________________________________________

   City:___________________________________________________________________

   Prov/State - Postal/Zip - Country:_____________________________________________

   Phone: ________________________________________Fax:_____________________
            (In case there is problem with your order. No salesmen will call)

   E-mail Address:__________________________________________________________

   Age group:      18-25      26-35      36-45      46-55      56-65      66-75      76-85
                        (Please circle one)
We accept certified cheques, money orders, Visa and American Express

   Please send me: THE NO MONEY DOWN IMPORT/EXPORT TRADE FORMULA WITH 
                           GUARANTEE CERTIFICATE
   Price: CAD58.00 (USD45.00)  shipping & handling included. No refund.
   GST : CAD  4.06 (Canadian customers only)

   PAYMENT BY:       <  >Certified cheque     <  >Money order
   CREDIT CARD:      <  >Visa     <  >American Express

   Card Number:___________________________________________________________

   Name:_________________________________________________________________

   Expiry Date:____________________________________________________________

   Signature:_________________________________

   Date:_____________________________________

   Shipment: Within two weeks;   Courier charges are available upon request
   Back to Main Page / Home Page