Order Submission

Ship to Address:
Name:                             *
Address 1:                      *   
Address 2:                      *   
City:                              * Province/State  *
Zip/Postal Code:            *

Send to:                   USA     Canada   

eMail Address:              *

Credit Card Information:    MasterCard    Visa 

Name on Card:             *

Credit Card Numbers:   * * * *
example                         5294      6835       7001        0001
Expiry Date:                  *
example                         01/04

I agree to pay for purchases as indicated when I submit this form 

                          

Orders can also be processed by calling Toll Free 1 877 292-3555
from any place  in North America.

If you are unable to reach tdc Marketing and Management Corporation, please leave a message with your name, telephone number and the time when you can be reached.