Ontario College of Reflexology - Customer ProFile Order Form

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Customer Pro-File Order Form

Semi-Secure Form

For secured transactions, go here

If your browser does not support secured transactions, go here.
For AOL users, go here

Note: Credit card payments will be made in Canadian funds. Your credit card company will automatically convert it to your currency.

Customer Pro-File Software Purchase:

Cost:= $69.95 Cdn - Shipping and Handling will be added to your order as applicable.

What media do you wish to receive?
	CDROM
	Internet Download - All orders are responded to individually and is not an automated process. Orders are usually sent within 48 hours after receipt of order.


Enter Your Name:	* = Required
Enter Your Address:	* = Required
Enter Your City/Town:	* = Required
Enter Your Province/State:	* = Required
Enter Your Postal/Zip Code:	* = Required
Enter Your Country	* = Required
Enter Your Telephone #:	* = Required
Enter Your Fax #:
Enter Your Email Address:	* = Required
Comments:

Payment:

Notes: The amount charged to your credit card will be in $Cdn. plus shipping and handling if required. All orders are responded to individually and is not an automated process. Orders are usually shipped within 48 hours after receipt of order.
Shipping & Handling Charge will be automatically added to your order:
Canada = $3.50 Cdn., USA = $4.25 Cdn., International = $7.00 Cdn.
By submitting this form, you acknowledge that the above will be added to your order where applicable.

Semi-Secure Form

This form is for those who wish to pay by credit card but cannot use the secure form, or if there is a problem with the automatic processing of the secure form.

To send your credit card information electronically, fill in the required information, including the first half of your credit card number in the first box and the second half in the second box. This will split up your credit card information from possible prying eyes. We will not assume any responsibility for this method.

Select the credit card :

* = Required

Enter the first half of your
credit card # :

* = Required

Enter the second half of your
credit card # :

* = Required

Enter Date of Expiry (MMYY):

* = Required

Copyright © 1996-2008 - Ontario College of Reflexology and Donald A. Bisson
All Rights Reserved. Reproduction in whole or in part in any form or medium without express written permission of O.C.R. is prohibited.