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ENDLESSMEDS.COM ORDER FORM Email: sales@endlessmeds.com "All Listings are Life Time Memberships and will be updated via our Password Protected Site" Please make checks or Money Orders payable to: ENDLESSVISION ENTERPRISES Send To: Endlessmeds.com Please send me the following List(s): ____Pharmacy List(s) @ $29.99 each with FREE SHIPPING! ____Veterinary List(s) @ $19.99 each with FREE SHIPPING! ____Save $$$ Buy both the Pharmacy & Veterinary @ $38.99 each with FREE SHIPPING! Plus receive a FREE Vitamin, Herb & Cosmetic List ($14.99 Value) Total Amount enclosed: _____*PAYMENT METHOD: [_]CHECK [_]MONEY ORDER (USA) [_]INTERNATIONAL MONEY ORDER (Payable to a US Bank) *NAME_______________________________________________________________________] *ADDRESS____________________________________________________________________] *CITY________________________] *STATE______________] *ZIP CODE________________] HOME PHONE:__________________] WORK PHONE:_______________________] ***EMAIL (We will NOT sell or give it away)
__________________________] SPECIAL INSTRUCTIONS (Medications you are looking for etc...)__________________________]
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