|
Barton Publishing Inc.
Mail Order Form
**
PRINT THIS FORM and mail it along with a check or money order**
1) Select the remedy report(s) you
would like to order:
|
Available Remedy Reports |
Quantity |
Price |
| Reflux Remedy Report
($39.97) |
______ |
______ |
| High
Blood Pressure Remedy Report
($39.97) |
______ |
______ |
| Cholesterol Secrets Report
($39.97) |
______ |
______ |
| Erectile
Dysfunction Remedy Report
($39.97) |
______ |
______ |
| Bad
Breath Report ($39.97) |
______ |
______ |
|
Depression Remedy Report
($39.97) |
______ |
______ |
| ADD / ADHD Remedy Report
($39.97) |
______ |
______ |
| Arthritis Remedy Report
($39.97) |
______ |
______ |
| UTI Report ($39.97) |
______ |
______ |
| Gout Remedy Report
($39.97) |
______ |
______ |
| Kidney Stones Report
($39.97) |
______ |
______ |
| Yeast Infection Report
($39.97) |
______ |
______ |
| Scabies Report ($39.97) |
______ |
______ |
| Herpes Remedy Report
($39.97) |
______ |
______ |
| Gallstones Report ($39.97) |
______ |
______ |
| Graves Disease Report
($39.97) |
______ |
______ |
| Lyme Disease Report
($39.97) |
______ |
______ |
| Hypothyroidism Report
($39.97) |
______ |
______ |
| Female Hairloss Remedy Report
($39.97) |
______ |
______ |
|
Optional: To receive printed copy* by mail, add $7.00 (USA) or $10.00 (outside USA) to each report here |
----> |
______ |
|
Sub-Total |
|
$_______ |
|
ORDER
TOTAL |
_______ |
$______ |
2) Fill out your information (print clearly):
Your Name _____________________________
Your Email Address
__________________________________
Your Street Address
_________________________________
Your City _______________ Your State _______
Your Zip Code __________
Your Phone Number ____________________
(We respect your privacy - we will never rent, share,
or sell ANY of
your information with anyone, ever!)
3) Send us this form with a
check or money order (U.S. Funds Only)
Payable to: Barton Publishing Inc.
Mailing Address:
Barton Publishing Inc.
P.O. Box 50
Brandon, SD 57005
Our Trust Policy:
If you'd like to download the remedy report(s) you ordered today, send an
email to:
sales@bartonpublishing.com stating that you have mailed a
payment to the above address. Be sure to tell us which remedy report(s) you
ordered, and we will reply to your email with a link for instant access,
so you don't need to wait for us to receive your payment.
We don't
want you to suffer any longer! Thank you for your honesty. We
appreciate your business and hope you quickly find excellent health! |