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Printer Form for Mail Order (Go to "File" and "Print") or Order Online
Please print clearly. Fields marked with an asterisk (*) are required to process this order.
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Customer Name:
Address:
City: State: Zip:
Day Phone: Eve. Phone: Fax: E-mail:
Qty Item Description Price Total
  Joint and Muscle Cream

$13.95

  
  Super Pain Away Gel Caps  (60 per bottle) $19.95
  Sports Injury Relief Cream $12.95
    Emu Oil Gel Caps   (60 per bottle) $16.95  
         
    Any specials on our website may be written in below!    
      $  
SUBTOTAL:  
SALES TAX:
(8.25% in TN)		  
SHIPPING (USA ONLY): $4.00
TOTAL AMOUNT: $
PAYMENT INFORMATION
PAYMENT TYPE:* (Please select one.) No Cash or C.O.D. accepted. Check/money order payments accepted with postal mail orders ONLY.
  Credit Card   Check**   Money Order

** Make checks payable to: MMT GROUP (checks must be in US dollars ONLY)

                                                 1655 Ozora Rd,   Loganville Ga 30017

CREDIT CARD PAYMENT INFORMATION:
TYPE OF CARD:*
  Visa   MasterCard   American Express
CARD NUMBER:* (Must be 16 digits) EXP. DATE*
    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
CARDHOLDER'S NAME AS IT APPEARS ON THE CARD:*
 
CARDHOLDER'S SIGNATURE:* (Orders can not be processed without signature)
X

Mail your order / check payable  to:

MMT GROUP
1655 Ozora Rd
Loganville, GA 30052

888-909-1658 
(toll free ordering ~ 9-7 Eastern Time ~ Mon.-Fri.)

You may fax this to 678 580- 5199 (if paying with Credit Card)