DietDeck® Order Form

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Please print this form and send it with your cheque or money order.

Mail to:
DietDeck®, Wicklum Unlimited Ltd.

2029 Woodglen Cres.

Ottawa, ON K1J 6G6

 

Please send me ____ set(s)of the DietDeck®. My total: __________ (for pricing click here).
Make cheque or money order payable to Wicklum Unlimited Ltd.

The DietDeck® is now available in English and French! Please check your language preference and quantity required.

English | qty: deck(s)

French | qty: deck(s)

The price per DietDeck® is $19.95 US and $21.95 CAN

Ontario residents add PST and GST/Non Ontario residents please add GST. Click here for pricing chart


Please enter your shipping information in the spaces below:


Shipping Information

First Name ___________________________________________
Last Name ___________________________________________
Company ___________________________________________
Address ___________________________________________
City ___________________________________________
Province/State _____
Country _____
Postal Code/Zip _______________
Phone ___________________________________________
Fax ___________________________________________
Email ___________________________________________

How did you hear about the DietDeck®? ____________________________________________

Can we contact you with information about other products from Wicklum Unlimited? YES _ NO_



Phone: 1-866-343-8335
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