Name: ___________________________________________ Today's Date: _______/________/________
Street Address: _______________________________________________________________________
City, St, Zip: ___________________________________________________________________________
Email: ___________________________________________________________________________
Phone: __________________________________
JUSTNATURAL PRODUCTS LLC 11101 S. Crown Way Suite 8 Wellington, Fl 33414
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Print this page, fill out form & send it in with a money order (US$ funds only) Sorry, we do not accept checks!
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FL State Residents Please Add 6.5% Tax
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UPS Ground Shipping $6.99
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$6.99
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Please send this filled out form to:
Money orders can be obtained at any local bank or post office.
Sorry, we do not accept checks! All checks we receive will simply
be destroyed.
We only accept U.S. funds, please no international currencies.
Thank you!