No credit card, not a problem!


You can pay with a 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 


* Zip code                   * State                       *  Country

Phone                            Fax                           Email



* Product name                                                            * Product Price

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


* Total __________





Thanks for your order!

Juniper Enterprises 
 PO Box 1046  Aspen, CO. 81612 USA



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