ORDER FORM

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For Credit Card Orders, see “click here” button in the middle of this page.

For Non-Credit Card Orders:   Print this page, fill out, and mail to the address at the bottom of this page.

PERSONAL MEDICAL JOURNAL© ORDER FORM

 

Quantity

Item

Price Each

Total

 

Personal Medical Journal ©

$29.95

 

Shipping & Handling*

  $5.00 ea.

 

*Oklahoma Residents, please add $2.65 per book sales tax.

 

                                                                          TOTAL

 

                       *International Customers, please add 25% of TOTAL.

 

*Free Shipping for U.S. mail orders of 5 or more Personal Medical Journals

Upon request, we will include a lovely gift card with your name
(when we mail the order to your gift recipient).

 

For Credit Card Orders, click here F © and you will access

the Personal Medical Journal on Amazon.com.

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For all other orders, check method of payment:

1 MONEY ORDER payable to The Branham Gallery

1 CHECK payable to The Branham Gallery

In case we have questions regarding your order, please give us the following information:

Phone ______________________   Email _________________________

Ship order to:                                                          (Please allow 3 to 6 weeks for delivery.)

 

NAME _____________________________________  Date _________________

STREET ADDRESS / P.O. BOX ______________________________________

CITY, STATE, ZIP __________________________________________________

If this is a gift, send gift card from                                          

 

This will be one of the most important books
that you ever buy, receive,
or give!

 

 

 

 

The Branham Gallery

8451 E. 125th St. S., Bixby, OK 74008-2911        Phone (918) 812-9990

E-mail:  mpmj@PersonalMedicalJournal.com

 

 

(The Branham Gallery RETURNS Policy:  Customer pays shipping cost and $5.00 restocking fee.)

© Copyright 2002 by The Branham Gallery

 

 

 

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