Amazing Health Products

Printable Order Form
Name:
  (please print)		     ____________________________________________________________________
Street:     ____________________________________________________________________
City, State, Zip     ____________________________________________________________________
Phone:     ____________________________________________________________________

  FOR LIQUID PRODUCTS, CALL FOR SHIPPING QUOTE
USA:  575-354-2086		   U.S. Shipping Rates for Paid Orders:  (Only applies to 48 contiguous states)
  First item = $6.95   --   Add $ .75 for each additional item
  Alaska, Canada and Hawaii:  Call for shipping quote:   505.354.2086
  No Overseas Shipping
  Please allow one week for delivery.
ITEM DESCRIPTION SIZE QTY. PRICE PER ITEM TOTAL AMOUNT
           
           
           
           
           
           
           
           
  Make check or money order payable to and mail to:
  Kerry Coates
  P. O. Box 1005
  Capitan, NM 88316-1005
  Phone: 505.354.2086
  E-Mail: kerry@kerrycoates.com
  Website: http://www.Amazing-Health-Products.com
   Product Total   (A)    
  Shipping - see chart above  (B)    
   
  IL residents add 6.25% sales tax  (C)    
  TOTAL (A+B+C)    
  Thank you for your order!
  Please be assured your order will be fully coordinated. Thank you.