"SAFE AND EASY BATHING"

1112002 AB. Inc.

DBA

ORDER FORM/SALES AGREEMENT

WESTERN CANADA ONLY

"DO IT YOURSELFER KIT"

Fill out, sign and date; pay by cheque or credit card with credit card number,

name as on card and expiry date and mail to;

TS INSERTS

Box 74065, Edmonton, AB. T5K 0R0

Ph: (780) 493-0362

1-866-899-7824

Fax: 493-0362

Email: tsinserts@shaw.ca

Buyer name:_____________________________

Address:__________________________

Phone Number:______________________

One Unit

DO IT YOURSELFER KIT $600.00

SHIPPING AND HANDLING $50.00

G.S.T TAX $39.00

TOTAL: $689.00

1-866-899-7824

Lifetime warranty on the insert only, 1 year on the "Door Panel" . Check caulking andgaskets periodically. TS Inserts is not responsible for any damages including water.

This agreement made this____________day of______________A.D 2007 between(buyer)___________________and (vendor) 112002 DBA TS Inserts.

It is understood and agreed by the parties hereto that 1112002 AB. Inc. is the exclusive property of TS Inserts and is not to be copied or duplicated in any way. This agreement is made between TS Inserts/1112002 AB. Inc. and the above said buyer and above stated date.


__________________

buyer signature

__________________

witness