Dear Janice and Doug,

Please send me (___) copies of YOUR HEALTH IMPROVEMENT NOTEBOOK.

Maximum quantity per order is 2. End users only, please; not for resale.

All pricing includes USPS First Class Mail postage and handling.

Enclosed is $9.00 per copy, 2 Notebooks, $18.00.

NY residents please add 8.125% sales tax.

Canadian customers please send $9.90 per copy, $19.80 for two.

UK/Australia please send $12.50 per copy, $25.00 for two.

All other international customers, please email for pricing details.

NAME______________________________________________________

ADDRESS___________________________________________________

CITY_______________________________________________________

STATE_______________________ZIP CODE______________________

COUNTRY____________________POSTAL CODE__________________

____________________________________________________________

COVER COLOR SELECTION

Please circle cover color selection or standard tan cover will be sent:
GREEN          PINK          TAN         BLUE          YELLOW

Please make check or Money Order payable to:

D. Ewing

1 Margaret Street

Red Hook, NY 12571

 

  
THANK YOU FOR YOUR ORDER AND GOOD HEALTH TO YOU