|
808 S. BLOOMINGTON |
|
LOWELL, AR. 72745 |
|
479-770-6027 |
NAME _______________________________________________
STREET ADDRESS_____________________________________
CITY__________________ STATE _______ ZIP____________
TELEPHONE ( )___________________
|
QTY |
TITLE |
PRICE |
TOTAL |
|
|
Diet and Salad - Vegetarian Guide to |
$7.95 |
|
|
|
Fresh Vegetables and Fruit Juices |
$7.95 |
|
|
|
Vibrant Health - The Natural Way |
$7.95 |
|
|
|
Water Can Undermine Your Health |
$7.95 |
|
|
|
Become Younger |
$7.95 |
|
|
|
Colon Health |
$7.95 |
|
|
|
Weight Control Pure and Simple |
$7.95 |
|
|
|
Back To The Land |
$7.95 |
|
|
|
Endocrine Chart |
$6.00 |
|
|
|
Foot Relaxation Chart |
$6.00 |
|
|
|
Colon Therapy Chart |
$6.00 |
|
|
POSTAGE US & CANADA $1.75 EACH ITEM ALL OTHER COUNTRIES ADD $4.00 EACH ITEM |
Sub Total |
$_________________ |
|
_____Items @ $______ EACH Item |
$_________________ |
|
|
TOTAL AMOUNT |
$_________________ |
PAYMENT METHOD _____CHECK _____MONEY ORDER _____VISA _____MASTERCARD
CREDIT CARD #______________________________________ EXPIRE_______/_______
SIGNATURE ____________________________________________________