Mail Order Form
* Print the form.
* Fill in all the information completely and clearly.
*Make check or money order payable to : William Richmond
*Put in an envelope, with proper postage
* Mail the form and check to
William Richmond
290 Scottsdale Rd.
Pleasant Hill, Ca. 94523
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Your Full Name :______________________________
Mailing Address:__________________________
City:________________________
State:______ Zip Code:_________Country:_____________
E-MAIL Address:___________________
(example: username@aol.com )
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Please send me the Special blend Fish Food ..........Reg. $29.99 for 5oz.
( I understand shipping is free in the USA.)
Add $9.50 for shipping and handling to check, if out of USA
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check out
Information Page