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: ______
FREE Shipping & Handling - All prices are in US dollars.
Message:__________________________________________________
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 Information Package? Yes or No (Please Circle)

Send Money Order for faster delivery, if Check waits to clear with bank.  
Payment to: Advanced Marketing 

Adrian V. Mathews: (503) 353-8968