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Heart To Heart Living Product Order Form
# items Title (O.K. to abbreviate) Author/Artist Unit Price Cost


Calculations
1) Total cost of products (add list above):
2) CA residents add 8.5% sales tax:
3) Shipping (see chart):
4) Subtotal (add lines 1 - 4):
5) Please double check your math. Grand Total:
Shipping - First Class Mail within U.S.
Add $2.00 extra for outside U.S.A. (for each item)
Chocolate Chips booklet$.75 ea
Books$3.00 each
Tapes$2.00 each

Contact information for product orders

Telephone:
E-Mail:
First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
Message:

Payment Method:


Important Info: If you choose to pay by credit card, your purchases will show up on your bill as "Heart To Heart Living.com.

Mail your checks to Heart To Heart Living.com, 524 Kearney St. #304, El Cerrito, CA, 94530 or email your request to: lchappo@aol.com

VISA Mastercard American Express Phone Me
If paying by credit card now, please fill out card number and expiration date.
Card Number:
Expiration Date:

Check to see that all fields are filled in. Use "None" or "N.A." when necessary. When you are sure it's correct, send us the information by clicking on the "Send ..." button below. The "Reset" button clears all the fields.