Health Bridges
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CONTACT INFORMATION
* required
* First name:
* Last name:
* Email:
Phone number:

Shipping Information
*
Shipping Address:
* City:
* State/Province:
* Zip/Postal code:
* Country:
Billing Address is the same as Shipping Address

Billing Information
*
Billing Address:
* City:
* State/Province:
* Zip/Postal code:
* Country:
Credit Card Information
( VISA or Master Card ONLY)
* Credit Card #:
* Holder Name:
* Expiration Date(MM/YY):
* Card Security Value(CSV): (3 digits)

All order will plus applicable tax and S&H.

TAX information:
If you are customer in Canada, HST or GST will be added.
If you are customer in USA or other country, there is no sales tax.
Shipping cost information:
Item S&H within CANADA S&H to USA
Bridge 1 $20 $30
Bridge 2 $20 $30
Bridge 3 $25 $35
Bridge 1 & 2 $25 $35
Bridge 2 & 3 $30 $40
Bridge 1 , 2 & 3 $30 $40