Order Form

 

Name:

Address:

City:

State:Zip:

Payment:   Visa   Mastercard Check     Moneyorder  

Card Numbers: 

Expire Date:

Signature:   X_____________________________


 

Description

Quantity

Amount

Total

Sha'lem Ointment (1 oz jar)

$4.99

Sha'lem Case ( 12 / 1 oz jars)

$49.99

 

 

Minnesota Sales Tax  (MN Residents Only) 6.875%

St. Louis County , MN Sales Tax .5%

 

Shipping

 

 

USA

$6.99

 

Total:

 Print out Form and mail with check , moneyorder, or creditcard information to:

Shalem Products, Inc.
9315 East Goodell Road
Angora,MN  55703