|
Little Bit of Sunshine
Please print off this form and mail with payment to:
Lil Bit of Sunshine
P.O. Box 14571,
Ft. Worth, TX
76117
Include the following information, (please print)
Name ______________________________________________________
Address ____________________________________________________
___________________________________________________
City __________________________________ State ________
Zip code ____________ Phone _________________________
Books
Item Price Quantity Cost
Today's Herbal Health (spiral) $21.95 ______ ______
By Louise Tenny
Tissue Cleansing Through $ 7.95 ______ ______
Bowel Management
By: Dr.Jensen
Iridology Simplified $5.95 ______ ______
Dr. Jensen
Better Health with Foot $17.95 ______ ______
Reflexology
By: D.C. Byers
Taking Time to Smell the Roses $10.00 ______ ______
Inspirational Book
By: Nella Jenkins
I have included as my form of payment:
________Check or money order
________American Express Card #
________Discover Card #
Credit card information
Name_______________________________
Card #_______________________________
Exp date_________________
|
|
