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ORDER FORM
Starting a Home Based Mail Order Business Software
Pay Only $49.00 + $4.50 Shipping & Handling

Order Via PayPal® It's Safe & Secure!
Note: You do not need to have a PayPal® account to purchase this item. A shipping fee of $4.50 has been added to the sales price, please contact us if you would like faster shipping than standard USPS.

TO ORDER VIA US MAIL OR FAX:
1. Complete this form in its entirety, print it (keep a copy!).
2. Mail this form and your check order.

PURCHASER  INFORMATION

Name:
Company:
Email:
Phone:  Fax:
Address 1:
Address 2:
City:
State/Prov:
Zip/Postal:
Country:

PRODUCT PRICING

Item
Mail Order Software
Qty
$ ea.
$ Total

Sub-Total:

Select Shipping & Handling:
$4.50 Standard USPS (U.S. Mail)

TOTAL ENCLOSED (including S&H) $

MAIL / FAX YOUR ORDER TO:

Larck Services, Inc.
PO Box 680
Clarcona, FL 32710-0680

Questions? Use our Contact Us page, click here.