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Mail Order Form

Name_____________________________________________________

Address___________________________________________________

City______________________________ State ___________________

Country___________________ E-MAIL_________________________

Items Ordered______________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

Add Shipping Charge______________  TOTAL___________________


Credit Card #____________________________Exp Date___________
 * (only use if purchasing with credit card)

Signature Authorizing Order____________________________________

MAIL YOUR ORDER TO:  

All by Nature Enterprises
All American Stores
P.O. Box 782946
Wichita, Kansas  67278

USA Shipping Charges
(1-50 = $5.95)   (50-100 = $7.95)   (100-175 = $9.95)   (175-250 = $11.95)   (250-350 = $14.95)

International Shipping Charges OUTSIDE of USA
($1 - $100 = $25) ($101 - $200 = $35.00) ($201 - 300 = $45.00)  ($301 - 400+ = $55.00)



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