Mail form and make checks payable to: Tonia Contino 3355 Nahatan Way Las Vegas NV. 89169
Phone Number:
(702)526-7754
email:

organicherbsmedicinecabinet@yahoo.com

website:

www.dickcontino.com/organicbulkherbs.htm
Order By (Mailing Address):
Name ________________________________
Address ______________________________
City ____________________ State ________
Zip ____________  Phone ________________
E mail __________________________
______
DESCRIPTION OZ COST QUANTITY TOTAL
         
         
NO ORDERS
JUNE - AUGUST 2008
       
         
         
         
         
         
         
         
         
         
         
         

Notes:

Use a copy of this form for more space Sub Total from above  

Shipping & Handling Charges are for US only all others call
Order Total      S/H           Order Total        S/H
$20.00-30.00      $7.95      $30.01-40.00     $8.95
  $40.01-50.00       $9.95     $50.01-60.00    $10.95
$60.01-75.00     $11.95
Free Delivery on all Orders over $75.00

Add Shipping (see left)  
   
Enclosed Total  

Please not a $20.00 minimum order
Thank You For Your Order