Order Form

We are MORE than just a tampon company. Your purchases help us to continue our community work; the prevention of violence against women and children, the elimination of toxic pollutants from our environment, and the promotion of women's health issues.

Please print and complete this form, then send it by fax, mail, or telephone to:
Bio Business International, 78 Hallam Street, Toronto, Canada M6H 1W8
Telephone: 416-539-8548 Fax: 416-539-9784 

       Date: _______________


       Name: _________________________


       Postal Address: __________________________________


        ______________________________________________


       Phone: ____________  Fax: ____________  Email: ____________



Item No.     Description           Quantity     Price       Amount


TF01     terra femme Regular 20p     _____      $5.49   _________

TF03     terra femme Super 20p        _____      $5.49   _________

                                                                       Subtotal:      _________

No. of Boxes: ______     Shipping & Handling:  _________


(1 to 9 boxes: $5.00 shipping; 10 boxes or more: FREE shipping!)

                     Canadian orders only -- Add 7% GST:         _________



                                                     ORDER TOTAL:             _________


Method of payment:    ___ Check/Money Order     ___ Mastercard 

Account #: ________________________  Expiry Date: ______


Name on Card: __________________ Signature: ____________________
U.S. and International customers: Please remit payment in U.S. dollars.

We appreciate the opportunity to serve you.