Trans Pacific Trading SWC Order Form

Qty.	Product	Total
	Denture Stabilizer - $19.95
	12 Hour Special Fixative Denture Cream 40g. Size - $6.95
	Express Cleaning Tablets - $4.95
	Dual Head Denture Brush - $5.95
	Value Packages - 1 Month Supply - $29.95
	Value Packages - 3 Months Supply - $74.35
Product Order Form Click for TPT Order Form

We accept personal check, money order, Visa,MC, AMEX.
CA Residents add 7.75% sales tax.
Add 10% to sub total for shipping and handling in the U.S. (Email us regarding shipping and handling outside the U.S.)

Sub Total
Tax
Shipping/Handling
Total

Credit Card Information:

Cardholder:

Credit Card Number:

Account No.:

Exp. Date:

Please enter your shipping/billing information.

First Name:

Last Name:

Email:

Referred by:
Street:

City:

State:

Zip:

Print this form out and mail or fax order form to:

TRANS PACIFIC TRADING CO.
1155 Camino Del Mar #500
Del Mar, California 92014 USA
Tel: (760) 436-8880 Fax: (760) 436-2877
Email: info@transpactrade.com