|
No
credit card, not a problem!
You
can pay with a Money Order or with
a Wire
Transfer.
MONEY
ORDER
Please
print and fill the following Order & Shipping information form.
Calculate
total amount
(product + freight) add sales taxes only if in Colorado
Make
the Money order out to: Juniper
Enterprises
Mail
your Money Order and your completed
Order & Shipping information form to:
Juniper
Enterprises
1711 Juniper Hill Road
Aspen, CO. 81611 USA
ORDER & Shipping Information form
: Cure Incontinence
*
Are required fields
Ship
to:
*
Name
___________________________________________________________________________
* Address
___________________________________________________________________________
*City_______________________________________________________________________
* Zip code
* State
* Country
___________________I__________________I_____________________________________
Phone
Fax
Email
_____________________I__________________I___________________________________
Product:
|
*
Product name
* Product Price
_______________________________________________I____________________
|
| *
Shipment option please add |
|
| |
US
Ground $ 7
US
2nd day or Canada standard $ 12
Europe standard $ 25
All other countries $ 29 |
______________ |
Tax
(Colorado resident please add 5.4 % of the price)
|
______________ |
| *
Total |
__________ |
Comments:
__________________________________________________________________________
Thanks
for your order!
Juniper
Enterprises
1711 Juniper Hill
Road Aspen, CO. 81611 USA
Fax: 970 923 68 85 email: order@jadeeggs.com
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