Print this page, fill out form & send it in with a money order (US$ funds only) Sorry, we do not accept checks!
   
 
                 
   
Customer Information
   
                 
    Name: ________________________________________   Today's Date: _____/______/______

Street Address:  ________________________________________________________________

City, St, Zip: ___________________________________________________________________

Email:            __________________________________________________________________

Phone:          __________________________________  
   
 
     
 
Product Name
Price
Quantity
Total
       
       
       
       
       
       
       
       
       
 
         
FL State Residents Please Add 6% Tax
 
UPS Ground Shipping  $6.99
$6.99
Total
 
                   
               
   
Please send this filled out form to::
Money orders can be obtained at any local
bank or post office. Sorry, we do not
accept checks! All checks we receive will
simply be destroyed.

We only accept U.S. funds
; no international
currencies
please. Thank you!
   
         
    JUST NATURAL PRODUCTS LLC
ATTN: Orders
2021 High Ridge Rd,
Boynton beach, FL 33426