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Please print this order form on your printer and send in with check

LAUREL FARMS Kombucha Tea® Starter Kit Order Form

"Fill out, print, then send in with check or money order"

Order Within The USA Will Be Shipped Via US Priority Mail In A Large Box.
$39.00 includes shipping and handling Orders Outside The USA
Will Be Shipped Overnight Express In A Large Box.

Note: This web store does not take credit cards, it will send Laurel Farms™ a copy of the order and allow you to print it, include check or money, order US funds only, and postal mail it to Laurel Farms™.

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Please provide the following customer information:

Full Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Please provide the following ordering information:

  QTY
Kombucha Tea® Starter Kit(s) $39.00 Each:

Order Destination:
Order Total:

Special Instructions - Gift Message

 
  Shipping Information
(if different from customer information)
Order Recipient:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Print this page by clicking HERE before submitting order
This print command works with Internet Explorer, Mozilla, Opera,
Firefox and NetscapeIf you are using a Mac operation system
please use your normal print command
If you don't have a printer, simply print your name, mailing address and phone number on a separate piece of paper and enclose with check

Please send your check and printed order to:
Laurel Farms, P.O. Box 2896, Sarasota, FL 34230

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