315 W. Northwest Hwy
Palatine, IL 60010
(847) 991-0253
By Internet
Order Form
| Quantity | Description | Price | |
| _____ | Baking Low Carb | $12.95 | $_______ |
| _____ | Low Carb Ice Cream, Drinks and Desserts | $13.95 | $_______ |
| _____ | Bread & Breakfast | $14.95 | $_______ |
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Sales tax: 8.25% (Residents of IL only) |
$_______ | ||
| Subtotal: | $_______ |
Shipping Information
|
Shipping Address: Name:______________________________ |
Shipping (5-10 days) 1-3 Book(s), $1.85 |
$_______ |
|
Street:______________________________ City:_____________, State:___, ZIP:______ Country:_________ (if not in the U.S.) |
Additional Shipping Canada & Mexico, $6.00 Overseas, $7.00 |
$_______ |
|
Credit Card #________________________ Credit Card Exp Date:__________ (VISA, MC, DISC) |
Final Total: | $_______ |
Ordering Options
| By Mail: | By Fax: |
| Send this form with a Check, Money Order or Credit Card # to: | Fax completed form w/ Credit Card # to: |
|
Diana Lee/C.M.I. 315 W. Northwest Hwy Palatine, IL 60010 |
For Orders Only, (847) 991-0253 |
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By Internet |
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