money order

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No credit card, not a problem!

You can pay with a Money Order or with a Wire Transfer.

MONEY ORDER

Please print and fill the following Order & Shipping information form.

Calculate total amount (product + freight) add sales taxes only if in Colorado

Make the Money order out to: Juniper Enterprises

Mail your Money Order and your completed Order & Shipping information form to:

Juniper Enterprises
1711 Juniper Hill Road
Aspen, CO. 81611 USA

Fax: 970 923 68 85 email: order@jadeeggs.com

ORDER & Shipping Information form : Resolve Incontinence

* Are required fields

Ship to:

* Name
___________________________________________________________________________

* Address
___________________________________________________________________________

*City_______________________________________________________________________

* Zip code * State * Country
___________________I__________________I_____________________________________

Phone Fax Email
_____________________I__________________I___________________________________

Product:

* Product name * Product Price _______________________________________________I____________________
* Shipment option please add
	US Ground $ 7 US 2nd day or Canada standard $ 12 Europe standard $ 25 All other countries $ 29	______________
Tax (Colorado resident please add 5.4 % of the price)		______________
* Total		__________

Comments:
__________________________________________________________________________

Thanks for your order!

Juniper Enterprises
1711 Juniper Hill Road Aspen, CO. 81611 USA
Fax: 970 923 68 85 email: order@jadeeggs.com

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