International Shipping Charges Agreement Form Please place your order at our online Shopify site. The prices on the Shopify site only include shipping to the USA. We require all international customers to send us the following info by e-mail so we can process the balance of your International Shipping fees. We are unable to modify your order and add the required shipping charges without this info. Orders will not be sent without processing shipping charges. International customers are responsible for any customs fees that may occur. By sending us this info you authorize us to charge the balance owed for international shipping and any other order requests that you send by e-mail. Please print this page, fill out clearly, scan and e-mail us at the address below. Name:___________________________________________ Billing Address Street:____________________________________ Apt or Suite:______________________________________ City:______________________________________ Province:___________________________________ Card Type:_____________ Card #:_____________________________ Expiration Month/Year:_____________ Three Digit SecurityCode on the back of the card:__________ Notes:________________________________________________________________________________________ _____________________________________________________________________________________________ | ||