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  HOME     ORDER BY MAIL PRINT FORM for https://doctormillerstea.com
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Doctor Millers Tea

P.O. Box 10242
Jackson, TN 38308

 

NAME _________________________________ COMPANY NAME ___________________________________

 

 

SHIPPING ADDRESS:

 

STREET No. & NAME __________________________________ APT OR SUITE NUMBER _____________

 

CITY, STATE & ZIP _________________________________________________________________________

 

TELEPHONE NUMBER ________________________ E-MAIL _______________________________________

 

 

# PACKS               ITEM                                                                                                                                     TOTAL COST

 

________             HOLY TEA  (8 tea bags per package) @ $24.95 each                                                ____________

 

________             MIRACLE TEA  (8 tea bags per package) @ $24.95 each                                        ____________

 

________             YOUTHIN  (20 four-pill packs) @ $39.95 each                                                            ____________

 

________             YOUthin PLAN (120 pills & 8 tea bags) @ $85.00 each                                             ____________

 

________             YOUthin ULTRA  (180 pills & 8 tea bags) @ $115.00 each                                       ____________

 

________             YOUthin NV  (180 pills & 8 tea bags) @ $115.00 each                                               ____________

 

________             BE FREE (8 capsules & 4 tea bags) @ $59.95                                                              ____________

 

________             LUXORIA (30 capsules) @ $39.95                                                                                 ____________

 

SUB TOTAL  $ ____________ S&H ($6.95 UNDER 10 ITEMS or $10.95 10 ITEMS OR MORE)  $ __________

 

TOTAL OF ORDER $ ____________ See Bulk Price List for discounts.

 

Thank you for your order!  We very much appreciate your business.

 

Please make checks or Money Orders payable to DoctorMillersTea.

Allow 7-10 days for personal checks to clear before order is shipped.