No credit card, not a problem!

 

You can pay with a Money Order.

MONEY ORDER

Please print and  fill the following Order & Shipping information form.

Calculate total amount  (product + freight) add sales taxes only if in Colorado

Make the Money order out to: Juniper Enterprises 

Mail your Money Order and your completed Order & Shipping information form to:

 

Juniper Enterprises 
 PO Box 1046
 Aspen, CO. 81612 USA
 

 

 

 

ORDER & Shipping Information form : Cure Incontinence                

*  Are required fields

Ship to:

* Name
___________________________________________________________________________

* Address 
___________________________________________________________________________

*City_______________________________________________________________________

* Zip code                   * State                       *  Country
___________________I__________________I_____________________________________

Phone                            Fax                           Email
_____________________I__________________I___________________________________

 

Product:

* Product name                                                            * Product Price
_______________________________________________I____________________

* Shipment option please add 
  US Ground $ 7
US 2nd day or Canada standard $ 12
Europe standard $ 25 
All other countries       $ 29
 
______________
Tax 
(Colorado resident please add 5.4 % of the price)
                   

______________

* Total __________

 

Comments:
__________________________________________________________________________

 

 

Thanks for your order!

Juniper Enterprises 
 PO Box 1046  Aspen, CO. 81612 USA
 

email: order@jadeeggs.com

 

Back to the Off line ordering option


Home   Health   Incontinence   Childbirth   Secret   Confidence   Product   Testimonials  FAQ  Policy     |    Online Order