| Your Name: | ||
| Street Address: | ||
| City: | State: | Zip Code: |
| Phone: | E-mail Address: | |
| PLEASE SELECT POST PAID QUANTITY YOU WISH: |
Enclose Proper Payment | Indicate selection below | |
| 1 Calendar POSTPAID in the US | $18.50 | ||
| 2 Calendars POST PAID to same US address. | $36.00 | ||
| 3 Calendars POST PAID to same US address. | $53.50 | ||
| 4 Calendars POST PAID to same US address. | $70.00 | ||
| 5 or MORE Calendars POST PAID to same US address. | $16.50 each PLUS $5 Postage | ||
|
Add $1.00 US for each Calendar Sent OUTSIDE THE UNITED STATES |
per calendar,$US1.00 | ||
|
TOTAL ENCLOSED IN $US FUNDS
|
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Sorry NO CREDIT CARDS - Make
Check Payable to:
Tracy Carton
Send order to:
Donna Nelson
Health Challenge Calendars
8125 W. Mineral Point Road
Cross Plains, Wisconsin 53528 USA