Order Summary
MEMBERSHIP_NAME: $0.00
GST (5%): $0.00
Total to be charged: $0.00
Credit Card Type____VISA    ____MasterCard
Name on Credit Card:
Credit Card Number:
CVC (3 Digit Verification):
Expiry Date (MM/YY):
Address:
City:
Postal Code:
Province:
Country:
Phone #:
Email:

I, _______________________________________, authorize Police Ready Inc. to charge my credit card outlined above in the amount stated above ($0.00). Furthermore, provincial sales tax (if applicable) will be added to this order as well.

Name:_______________________________________
Date:_______________________________________
Signature:_______________________________________
*To complete you registeration, please print and fax this form to (416)-987-9811