Regular Order Form for Products on How to Meet, Date, Attract, Seduce Women

Please print this order form to mail your order. Ship To: (Please Print) Name:______________________________________________________________________ Address:___________________________________________________________________ City:_____________________________State/Province___________Zip_____________ Telephone:________________________ (in case of a question about your order) Your E-Mail Address:________________________________ Thanks for your order! Item # Description Quantity Price Total |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| SUBTOTAL |______| SHIPPING (see below) |______| Texas Orders Add 6.50% Sales Tax |______| P.S. Checks Must be From American Banks Only TOTAL |______| Shipping & Handling : United States Orders: 1 item $4.00, each additional item...$1.00 Mail this order form with your check or M.O. to: Gemini Publishing Co., Gemini Publishing Co., 818 Lois Street, Suite A, Kerrville, TX 78028. Phone: 830-496-3337

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