BC BUD DEPOT - MAIL ORDER FORM

Ship To:
Name:_______________________________________	__________________________________________
Address:_____________________________________	__________________________________________
City,Province/State:____________________________	__________________________________________
Country, Zip:_________________________________	__________________________________________

Email:_______________________________________ (Not Required)

Code	Name	Quantity	Price	Category
	Total :			$.00 USD

Special Instructions: _________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Thank you for your order. We deliver discreetly world-wide. Please note that all prices are in US dollars. We accept cash or all money orders - but only money orders with the 'payable to' field left blank or made out to 'cash'. Please leave the payable to field left blank or write out to 'cash' or otherwise your money order will be returned. We can accept orders by standard mail, registered mail, or courier delivery. Send cash or blank money order to: GFS Industries Suite #65, Nieuwezijds Voorburgwal 86 1012SE, Amsterdam The Netherlands