ORDER FORM--Print this page

Make checks payable to:

Mary Lee Bensman, P.O. Box 456, Buena Vista, CO 81211

(719) 395-0424 * chooselife@maryleebensman.com * www.maryleebensman.com

DELIVER TO:

NAME:
ADDRESS:
CITY/STATE/ZIP:
PHONE NUMBER IN CASE I HAVE QUESTIONS:
E-MAIL FOR THE SAME REASON:

 

 

QUANTITY

ITEM NUMBER

PRICE EACH

DESCRIPTION

TOTAL

*
*
*
*
*
*
*
*
*
TOTAL FOR ORDER: $
Residents of CO add 3% $
Residents of Chaffee County, CO add 2% $
Residents of Buena Vista, CO add 2% $
Postage and Handling (See Chart below) $
Other Adjustments $
GRAND TOTAL: $

POSTAGE AND HANDLING FOR ORDERS IN USA:

Value of Order:

Add Postage & Handling:

$0-$10

$3.50

$10.01-$50

$5.50

$50.01-$100

$7.50

$100.01 and up

7% of value


Most orders will be shipped the next business day after I receive payment.

Back orders will take a couple of weeks. I will notify you of status via e-mail.
Satisfaction guaranteed. Thanks!
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