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Other Products Order Form
Please print this page and return by fax or mail to place an order
Jeff Kowalski
9205 Woodhall Bay
Brooklyn Park, MN 55443
(763) 425-1699 Fax (763) 425-9426
Send check in advance - made payable to Jeff Kowalski or pay by credit card

Credit card form
Name Card Type
Address Card Number
City, State, Zip Expiration Date
Phone Number Signature

Other Products
QTY
Description
Unit Price
Total
    99.7% Pure Certified Organic Whole Leaf Aloe Vera Juice
32 oz. (1 qt.)
 $9.95  
    99.7% Pure Certified Organic Whole Leaf Aloe Vera Juice
128 oz. (1 gallon)		 $24.95  
    99.7% Pure Certified Organic Whole Leaf Aloe Vera Gelly
8 oz.		 $8.95  
SUBTOTAL
  
Minnesota Residents add 6.5% Sales Tax
  

Shipping & Handling
Shipping Charges: $9.00 and under = $3.95
$10.00 - $75.00 = $7.00
$76.00 - $149.00 = $10.00
Shipping Charges can change according to weight - Prices subject to change

  
TOTAL
  

Contact: Jeff Kowalski
Phone: (763) 425-1699
Fax: (763) 425-9426
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