Natural Gourmet Institute Request Information
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Store Order Form


Name ____________________________________
Address __________________________________
City, State________________________________
Country___________________________________
Zip Code (or Postal Code)__________________
Day phone (____) __________________
Eve phone (____) __________________
Would you like to be added to our mailing list?
m yes m no

PAYMENT INFORMATION (please check one)
m Check m Money Order m Visa m Mastercard
Credit Card Number __________________________
expiration date: ____________

Signature (required):_______________________________

Quan

Books/Merchandise

Price

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Subtotal

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Handling

$3.00

. NY residents add 8.25% sales tax .
. Shipping .
. TOTAL .

Send check, money order or credit card information with this form to:
The Natural Gourmet
48 West 21st Street, 2nd floor
New York, NY 10010 USA

SHIPPING CHARGES
(NOTE: UPS CANNOT DELIVER TO P.O. BOXES)
Order Total Cont’l U.S. Alaska/Hawaii** Canada**
$ 0-15 $3.95 $5.95 $6.95
16-25 4.95 6.95 7.95
26-50 5.95 8.95 9.95
51-75 6.95 10.95 11.95
76-125 8.95 12.95 13.95

HANDLING FEE FOR EACH SHIPMENT:
$3**Shipped through U.S. Postal Service; shipping charges will be adjusted depending on weight and distance. All else UPS. For 2-day UPS, overnight delivery or shipments to any other country, please inquire. All orders within the continental U.S. will be shipped regular UPS unless you request other arrangements. Shipping prices subject to change without notice due to fluctuating shipping costs.