| FUMA NATURAL/ GOUTWELL.COM Mail Order Form (You can complete the form and print out) |
| Please make checks or money orders payable to: Fuma Natural |
| Mail this form with your payments to: Goutwell.com/ Fuma Natural 12881 Knott Ave., Suite 113 Garden Grove, CA 92841 |
| California residents, please add 8.25% sale tax. For outside USA orders, please add $29.95 (instead of $7.50) for Shipping and Handling cost. |
| Thank you for your order. Please print out this form and mail with your payments. |
| Copyright © 2004 Goutwell.com/Fuma Natural - All Right Reserved. - 12881 Knott Ave., Ste 113, Garden Grove, CA 92841 |