Manna International Mail Order Form

Please make all checks payable to: Beverly B. Ferguson

*~ KOMBUCHA MANNA INTERNATIONAL MAIL ORDER FORM ~*

Kombucha Manna International™
Beverly B. Ferguson
2 Alexander Lane
Croton-on-Hudson,
New York, U.S.A. 10520-2411

 Your Full Name: _______________________________________________________

 Complete "Ship To" Address: Apt. # and Street_______________________

 City__________________ State______ Country _______________Zip__________

 Phone:_________________________ Email Address: _______@_______________

 To order _______ # of 1oz. Bottles of *Kombucha Manna Drops* @$15.00/bottle.

 To order ______ # of 4 oz. Refill Bottles of *Kombucha Manna Drops*™ @ $50.00/ bottle.

 To order _______ # of 1oz. Bottles of *Manna Green Tea Extract*™ @ $15.00/bottle.

 To order ______ # of 4 oz. Refill Bottles of *Manna Green Tea Extract*™ @ $50.00/ bottle.

 Note*The refill bottle is the most economical and ecological way to buy your  *Kombucha Manna Drops* and Manna Green Tea Extract. Keep your Dropper bottles:-))

 Total amount of my Order: $ ___________ in US funds only.

 Priority Shipping & Handling _within U.S. only_: $ 5.00 no matter how many bottles you   purchase!

 ORDER TOTAL including Shipping and Handling: $ _________

 I learned about Kombucha Manna International from:_________________________

PAYMENT:
We accept payment in _U.S. Funds Only_ in any of these forms:
Check; International Money Order; Certified Bank Check; Wire-Transfer; Cash

Please make all checks payable to: Beverly B. Ferguson  

Thank You for your Order!
We appreciate your business and will do all that we can to be of benefit to your Health and Well-Being:-))

FOR INTERNATIONAL ORDERS: PLEASE EMAIL FOR SHIPPING AND HANDLING RATES!

~*ALL INFORMATION IS KEPT STRICTLY CONFIDENTIAL*~

 


 


To Order just print this form; fill it out; and mail it to us with your payment
 

FOR INTERNATIONAL ORDERS: PLEASEUS FOR SHIPPING AND HANDLING RATES!

 

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