7 Day Smoke Away. MAIL ORDER FORM
Please Print this form, fill it out and mail it to the address below (if you do not have a printer, please write out the form by hand)
Please locate the price of the product(s) you are purchasing from the website
| Customer Name & Address | Product's Ordered |
Quantity/Price |
Shipping Prices |
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Mail Orders: Please send this form with your USA Cash or USA Money Order or Check (personal checks held until cleared before shipment) to:
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7 Day Smoke Away, Box 111, 325 East Jimmie Leeds Rd, Suite # 7, Galloway, NJ, 08205, USA |