The Magnificent You --
Mail Order Form
If you prefer not to order online, simply complete this mail order form, print it and send it with your payment!
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Ordered By:
Name:
Address 1:
Address 2:
City:
State/Prov:
Zip :
Country:
Phone:
Email:
Important: Your phone number is only required in case I need to contact you with regard to your order. It will not be used for any other purpose.
Ship To:
Zip:
NOTE: Please complete the "SHIP TO" address only if you are ordering these products for another person.
USD $19.95
$497.00
$19.95
$14.95
$15.00
Sales Tax Arizona Residents - Please add 5.6%.
Shipping Please add $6.00 for domestic (US) shipping
Next-day Delivery Or International $15.00 additional charge. Please call to confirm this.
Payment Method:
Check/cheque (mail only)
Money Order (mail only)
Mail orders to:
Marcia Breitenbach Magnificent Choices for Healing Please email us to get the correct address to which you must send this form.