Total Purchase -------------------------------------------
*** Shipping charge for address outside the United States
Total -------------------------------------------
*Above prices include postage for shipments within the United States.
**Nutritional Supplements and Miscellaneous not available outside the United States.
***Please add 25% of total purchase ($15.00 minimum) for postage for orders with a shipping address outside the United States.
FILL IN NECESSARY INFORMATION BELOW - PLEASE PRINT CLEARLY
Name
Mailing Address
City/State/Zip
ORDER FORM
You may print out this form and send in your order with a check or money order to:
Dianne Miller 2733 E Battlefield Road #234 Springfield, MO 65804