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ORDER FORM
All by Nature
2250 N Rock Road, Suite 118-118H
Wichita, KS 67226
e-mail
Your Name: ____________________________________________________
Street: _________________________________________________________
City, State, Zip: __________________________________________________
Your e-mail address (required): __________________________________
ITEMS ORDERED
| ITEM | DESCRIPTION | QTY | PRICE | TOTAL |
Florida Residents add SALES TAX (SUBTOTAL x 7%) _______________
SHIPPING AND HANDLING
($1 - $100 = $5.95) ($101 - $200 = $8.95) ($201 - $300 = $11.95)
_____________
($301 - $400+ = $14.95)
TOTAL (Check or Money Order) ______________
To order, print out this form and MAIL with check or money order