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viviti

PRINT THIS FORM TO ORDER BY MAIL.

 

SHIP TO:    

NAME:  ____________________________________________________

ADDRESS:  _________________________________________________

                    _________________________________________________

CITY, ST, ZIP:  ______________________________________________

PHONE #:  __________________________________________________

EMAIL:  ____________________________________________________

  ITEM DESCRIPTION   QTY  PRICE   TOTAL
       
       
       
       
       

                                                                                               SUB TOTAL:       _____________

                                                                                               S&H FEE:            _____________

                                                                                               TOTAL DUE:       _____________

S&H FEES:      TOTAL   -   FEE
                     upto $14.99 - $3.50
                     $15 - 29.99 - $5.50
                     $30 - 49.99 - $7.50
                     $50 - 74.99 - $9.50
                     $75 & over - FREE

I understand that it will take approximately 6 weeks to make and ship the items I have ordered. 

SIGNATURE:    ______________________________________________________

 

Please mail this form with Personal check or money order to:
THERE IS A $20.00 FEE FOR ANY RETURNED CHECKS.

Warmest Wishes 2U
c/o Randi Livengood
PO Box 444
South Heights, PA  15081

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