Mail Order Form

LONE STAR NATURALS

MAIL ORDER FORM
(325) 572-4858

Print it out, fill it in, send it to:

Lone Star Naturals

P O Box 423

Buffalo Gap, TX 79508

If you would like to expedite your order, email me at lone_star_inquiries@yahoo.com to let me know it was sent.
Thank you!

Description	Qty	Price Each	Total Price
*	#	$	$
*	#	$	$
*	#	$	$
*	#	$	$
*	#	$	$
*	#	$	$
*	#	$	$
*	#	$	$
*	#	$	$
		Sub-total	$
		Shipping	$
Please_make_checks_or_MO_payable_to:_Lone_Star_Naturals		6.25%_Sales Tax_for_TX res_only	$
			$
		Amount Due	$

Actual shipping cost is based on USPS
Please contact me if you want to add priority shipping or insurance to your order.

(325) 572-4858

NAME_________________________________________________________

ADDRESS_______________________________________________________

CITY_________________________STATE___________ZIP______________

Please include your phone number in case there is a problem with your order.
It will be kept strictly confidential!

PHONE # (___________)_____________________________________

EMAIL (optional)__________________________________________

How did you find or hear about Lone Star Naturals? (Please mark one)

Google
Another Search Engine
Friend or "Word of Mouth"
Other__________________________

Any additional comments or special requests:
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________

Home