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) $4.39
Sha'lem Case ( 12 / 1 oz jars) $42.99
   

Minnesota Sales Tax  (MN Residents Only) 6.5% 

Shipping

   

USA

$4.99
Canada $5.50
International $6.00
  Total:

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

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