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Hydra Essentials Extra Extra

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Order By Mail

Mail-In Order Form

Name

Address 

Address 2

City

State

 

ZIP

E-mail

Phone

Total Sale

Insurance Cost

$0 - $50 $1.10
$50.01 - $100 $2.00
$100.01 - $200 $3.00
$200.01 - $300 $4.00
$300.01 - $400 $5.00
Add $1.00 for every $100

 

QTY DESCRIPTION TOTAL

Insurance (optional)

Shipping & Handling

TOTAL

Make checks and money orders payable to Transitional Assistance Foundation

We gladly accept personal checks, business checks, money orders.

 Please print out order form and send with payment to:

Essential Oils
Transitional Assistance Foundation
2900 Fulmer Rd.
Lorain, Ohio 44053

*Please allow 4 to 6 weeks for delivery.