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Print this form. Fill out completely. Enclose a check or money order, US FUNDS only. Foreign checks/currency including Canadian will not be accepted. To use a credit card (Visa or MasterCard only, 4% surcharge added, mail or fax) fill out information below. . You will receive a printed and/or emailed credit card charge receipt when using Visa or MasterCard. No cc information is kept. All credit card information is used and then securely destroyed
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SPECIAL JAN 2010 First item $40 (additional items to same US address $25 each, maximum 3 items per order to one address.) US $50 each International includes shipping.
Please make your check or money order payable to Krispin Sullivan, CN.'
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Mail check/MO & form to:''''''''''' To order by credit card (Visa, MasterCard only)
Krispin Sullivan, CN''''''''''''''''''''''' Name on card:
202 Marylyn Circle'''''''''''''''''''''''''' Card#:
Petaluma, CA 94954'''''''''''''''''''''''' Expirations date:
707-769-1301'''''''''''''''''''''''''''''''''' 3 digit security code:
Fax: 707-769-1321'(CC only)'''''''''' If different billing address list it please.
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Item (shipping is included in the price) |
Price per Item- First Item $40 US second or third $25 each US but only when ordered all to one US address. No discount for international orders. |
How Many?
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Price X Quantity |
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The Preliminary Report: Sunlight and Vitamin
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(shipping weight under 1 lb.)
International orders shipped without folder.
International orders shipped without binder. International orders must
pay in US funds/credit card or the order will not be processed.
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$40.00 US First $25 each additional item
max 3 items
$50.00 INTL
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Manuscript: Naked at Noon, Understanding the Importance of Sunlight and Vitamin D |
$40 US first $25 each additional item max 3 items'' $50.00 each INTL paid in US Funds |
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Practical Nutrition Workbook for the 21st Century'''' (Shipping weight 2.2 lbs)''''' International orders shipped without binder. International orders must pay in US funds/credit card or the order will not be processed. |
$40.00 US first item additional items $25
each max 3 items
$50.00 INTL paid in US Funds
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Total all items in the far right column. Personal checks must clear before sending. Postal money order and credit card orders ship ASAP. Credit card orders will have a 4% surcharge added.. |
All orders must be paid in US funds. |
Check or money order enclosed for total: |
Name:___________________________________________________________________________________
Address:_________________________________________________________________________________
City/State/Zip:_____________________________________________________________________________
Phone w/area code/number:___________________________________ Email:__________________________
Special Instructions:' If you would like copies sent to colleagues, family or friends; or if this is to be a gift, (gift card no invoice).