Dr. Millers Holy Tea Order by Mail Form
Print and mail this document to:
Advanced Marketing, 19093
Beavercreek Rd., #317 Oregon City, OR 97045
Paid to: Advanced
Marketing
| Full Name: | |||
| Street address : | |||
| _________________________________________________________________________ | |||
| Phone:____________________ Fax:_______________________ | |||
| E-mail: | |||
| Order Form: | Retail: | Quantity: | |
| Dr. Millers Holy Tea - ( 2 Tea Bags - Makes 1 Gallon ) | $12.49 | ______ | |
| Dr. Millers Holy Tea - ( 4 Tea Bags - Makes 2 Gallons ) | $24.98 | ______ | |
| Dr. Millers Holy Tea - ( 6 Tea Bags - Makes 3 Gallons ) | $37.47 | ______ | |
| Dr. Millers Holy Tea - ( 8 Tea Bags - Makes 4 Gallons ) | $49.96 | ______ | |
| Dr. Millers Holy Tea - ( 10 Tea Bags - Makes 5 Gallons ) | $62.45 | ______ | |
| Dr. Millers Holy Tea - ( 12 Tea Bags - Makes 6 Gallons ) | $74.94 | ______ | |
| Dr. Millers Holy Tea - ( 14 Tea Bags - Makes 7 Gallons ) | $87.43 | ______ | |
| Dr. Millers Holy Tea - ( 16 Tea Bags - Makes 8 Gallons ) | $99.92 | ______ | |
| Dr. Millers Holy Tea - ( 18 Tea Bags - Makes 9 Gallons ) | $112.41 | ______ | |
| Dr. Millers Holy Tea - ( 20 Tea Bags - Makes 10 Gallons ) | $124.90 | ______ | |
| * Shipping and handling S&H = | Free S&H | ______ | |
| Total: | ______ | ||
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| Message:__________________________________________________ | |||
| _________________________________________________________ | |||
| Information Package? Yes or No (Please Circle) | |||
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Adrian V. Mathews: (503) 353-8968