Fill out this easy mail-in order form, print it, and mail it in with your check or money order.
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Fill out this easy mail-in order form, print it, and mail it in with your check or money order. |
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unit(s) for $24.95 each plus $5.00 S&H for the first unit and $3.00
for each additional unit (Continental USA ). I have enclosed this
completed form along with my check (or money order) as full payment.
I am aware that sales taxes are not included in my payment. I understand
is a relatively new product and delivery could be extended. Should
delivery unexpectedly take more than six (6) weeks, I have the option to
cancel my order and receive a full refund.
| Name: | ||||
| Street Address: | ||||
| City / State / Zip: | / / - | |||
| Phone(s): |
If outside Continental USA, put full mailing address here:
1187 Wilmette Avenue, Suite 101 • Wilmette, IL 60091 • E-Mail