The Glasses (case included) regular or clip-on are available from

Goblin Forest

PO Box 55

Delta, BC

V4K 3N5

at $ 66.00 per pair, plus BC PST at 7.5 % and Canada GST at 7%,

$8.00 for Canada Express Post S&H

No PST for customers outside British Columbia. No GST for customers outside Canada.

Make cheque or money order payable to Goblin Forest.

For further information email: peter@goblinforest.com or phone 604 946 1454

For your convenience ,print out this form and mail with Cheque or money order

MAIL ORDER FORM

GOBLIN FOREST

P.O. Box 55, Delta, B.C.,

V4K 3N5

Canada

GST # R128 623 790

Customer: Date ________________

Name ___________________________

Address _________________________

City __________________ Postal Code ____________ Country _____________

Description: Quanity Price total

NASA Plant stress detection glass - __________ $ 66.00 each ______

case included

British Columbia 7.5 % PST ________

Canada 7 % GST ________

shipping plus handling per pair (email for rate for more than one pair $ 6.00

(Express Post add $2.00 to S&H)

Total payable ________

Return copy of this form with cheque or money order payable to Goblin Forest and remit to address above.

Glasses will be mailed upon receipt of cheque or Money order.

Thank you for your order