Uneet Co. Inc. Order Form for http://www.gayattractants.com
(Please type all information and then print this form)

Name

Address

City State Zip Code

Telephone number Country

(Please include your telephone number so that we can discreetly call you if there are questions regarding your order)

Email address   Yes, send me future updates

Items

QUANTITY

COST EACH

TOTAL

Robust 1 1/3 oz   $ 99.99  
Robust Trial 1/3 oz   $ 29.99  
INCENSE STICKS   $ 14.95  
Tea Tree Therapy Suppositories 6pk   $ 11.95  
SUB TOTAL      
NEW JERSEY RESIDENTS ADD 6% SALES TAX      
SHIPPING AND HANDLING CONTINENTAL USA Only*   $ 4.05  
USA rush delivery/priority- approx. 3 to 4 day delivery*   $ 10.05  
*INTERNATIONAL SHIPPING AND HANDLING   $ 7.05  
*International rush delivery/Global Priority   $ 13.80  
TOTAL      
$15 RETURNED CHECK CHARGE.

Please allow three to four weeks for delivery. Every effort will be made to expedite and deliver orders as quickly as possible. Sorry, no COD's.

Credit Card Orders (Master card and Visa, American Express, Discover):
Note: The card billing address must be the same as the shipping address for verification purposes.

Card holder name  Card number  Expiration date   Customer signature _______________________

Credit card orders may be faxed to: 1-888-262-3884 (toll free in the USA or Canada) or 1-973-347-9220

Please forward your order to:
Uneet Co.
275 RT 10 East, Ste 220-405
Succasunna, NJ 07876
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