RANCH MANAGER – LION EDGE MAIL/FAX ORDER FORM

THANK YOU FOR YOUR PURCHASE

PRINT AND COMPLETE THIS FORM AND EITHER MAIL OR FAX USING THE INFORMATION PROVIDED BELOW

Name:		Ranch Name:
Shipping Address:
City:		Province:
Postal Code:		E-Mail:
Phone Number:
How did you hear about us?	□ Newspaper □ Magazine □ Search Engine (AOL / Google / MSN / Yahoo) □ Flyer □ Online Ad □ Trade Show □ Other (Specify): _______________________________________
Method of Payment:	□ Visa □ MasterCard □ American Express □ Discover Card □ Check

Purchase (Please select one or more)
□ Cattle Edition □ Sheep Edition □ Goat Edition □ Equine Edition □ Wildlife Edition FOR RANCH MANAGER: POCKET EDITION ORDERS AND PRICING PLEASE CALL US AT 403.668.0438
Pricing (Canadian Dollars Includes G.S.T.) – Shipping is Free
Any 1 Item: $132.29 \| Any 2 Items: $198.43 \| Any 3 Items: $264.59 \| Any 4 Items: $330.74 \| All 5 Items: $396.89

(To find the Card Verification number: enter the last 3 digit number on the back of the card near the signature line. It appears after and to the right of your card number. For AMEX card users it is the 4 digit number at the front of the card. It appears after and to the right of your card number)

Mail Orders (Send To):

Fax Orders:

Lion Edge Technologies

PO Box 342

Mankota, Saskatchewan Canada

S0H 2W0

1-303-699-5485

Authorization:

Purchaser Signature

Date: Month / Day / Year

Credit Card Information (Omit if paying by check)

Credit Card Number:

Expiry Date: (Month)

Card Verification Number:

If you have any further questions please call Lion Edge Technologies at 403-668-0438, or visit http://www.lionedge.com