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Printable Order Form

Please review the following order infomation. If it is correct, print this page, fill in the blanks for your billing and shipping information, and mail it to us at:

Brit Elders
CEO - Shirleymaclaine.com
Box 17007
Munds Park, AZ 86017

Money Orders payable to: MacLaine Enterprises.

Qty Description Price each Total $0.00
Subtotal $0.00
Shipping Charges $0.00
Tax $0.00
Total $0.00

* Shipping Information:

Please provide us with your shipping address, or click "Same as Billing Information" to use the information above. Domestic Expert Readings are always shipped separately via Priority Mail. Foreign orders are sent via Insured U.S. Mail.

Our domestic shipping charges are $6.00 for the first item, $1.50 for each additional item, and $4.50 for up to three Expert Readings. Foreign shipping charges are $10.00 for the first item, $2.50 for each additional item, and a $2 surcharge for each Expert Reading.

(Please Type or Print Clearly)
All fields are required except fax number. If all required fields are not completed we cannot process your order.
Billing Information
Payment Type: Credit Card___  Money Order___  Check___
Card Type: __Mastercard __Visa __American Express
Card Number: ________________________Expires:_____/____
Name: __________________________________________
Address: __________________________________________
City, State, Zip: __________________________________________
Country: __________________________________________

Shipping Information (if different)
Name: __________________________________________
Address: __________________________________________
City, State, Zip: __________________________________________
Country: __________________________________________

Contact Information
Email: __________________________________________
Telephone: __________________________________________
FAX: __________________________________________

If you are member, please provide us with your membership ID and password below so that we can give you the member discounts.
Member ID: ___________________
Member Password: ___________________

* * If payment is by check or money order, then "payable to MacLaine Enterprises"
      

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