LEECHILD INNOVATIONS, INC. MAIL/ FAX ORDER FORM

244 WOODBINE AVE., TORONTO, ONTARIO, CANADA, M4L 3P2
Toll Free 877 819-5239 Tel: (416) 698-3130 Fax: (416) 778-6289 E-mail: info@thewarrior.com

Name: ___________________________________________________ Date: __________________

Shipping Address: _________________________________________________________________

___________________________________________________ZipCode:____________________

Phone(home): ____________________________ Phone (business): ________________________

E-mail: _______________________________________________________

Quantity
MODEL
W/C or
Lee Style
Black or
Redwood
Price
(US$)
Total
  Warrior Wallmount     $897  
  Warrior Phase I     $949  
  Warrior Phase II     $1099  
  Warrior Phase III     $1299  
 

Ultimate Warrior Phase IV

    $1499  
  Spinning Body only     $397  
  Spinning Warrior Phase I     $1098  
  Spinning Warrior Phase II     $1298  
  Sidekick only     $299  
  Sidekick Three     $1049  
           
Overseas shipping & handling  
TOTAL  

Method of Payment: Certified Cheque/Money Order       Visa       Amex      Mastercard

Card Number_____________________________________ Expiry date _____________

Customer Signature _____________________________________________________

Note: All prices include shipping charges within continental North America. Customers are responsible for any and all international customs/duty charges. All items are shipped within 2-6 weeks. Deliveries are insured by UPS. Applicable taxes will be added for Canadian residents. Cancellations subject to a 15% administration fee.

For overseas shipping rates contact us