Jade Woman Enterprises
1880 S. Pierce Street, Suite 14
Lakewood, CO 80232
303.573.6533
FIVE ELEMENT ACUPUNCTURE DVD SET
THE TWELVE OFFICIALS © Warren Bellows
ORDER FORM
___________Sets @ $195.00/set (6 DVDs) $______
Shipping and handling @ $10.00 per set $_________
Order Total $___________
Payment: Check#_________(please enclose)
Credit Card: VC____MC____
Credit Card#__________________________
Exp Date______
Signature Authorization:______________________________
Mail Order To: Please Print
Name:____________________________________
Address:__________________________________
___________________________________________
Phone#___________________email____________
Mail order with payment to Jade Woman Enterprises at the above address. Thank you!
|
