ORDER FORM MAIL or FAX

ITEM #	PRODUCT	QTY	PRICE	TOTAL PRICE
100	LIQUID LAUNDRY DETERGENT - GALLON		$35.50
101	LIQUID LAUNDRY DETERGENT - QUART		$10.75
105	POWDER LAUNDRY DETERGENT - 5 LBS.		$20.00
110	FABRIC SOFTENER - GALLON		$20.50
120	AUTOMATIC DISHWASHER DETERGENT - 4 LBS.		$19.00
130	ALL PURPOSE CLEANER - QUART		$6.40
140	DISHWASHING LIQUID - QUART		$6.60
160	GLASS CLEANER - QUART REFILL		$5.50
161	GLASS CLEANER - PINT W/ PUMP SPRAYER		$5.50
180	FRUIT & VEGGIE WASH - PINT W/ PUMP SPRAYER		$5.50
202	1 OZ. DISPENSING PUMP FOR GALLONS ONLY		$4.65
203	VEGGIE SCRUB BRUSH		$2.25
204	1/8 OZ. DISPENSING PUMP FOR GALLONS ONLY		$4.15


	MERCHANDISE TOTAL

	6% Michigan Sales Tax (Residents Only)
	SHIPPING (see chart)
	TOTAL AMOUNT
Mail or fax this form to:
ALLENS NATURALLY P.O. BOX 514 ~ FARMINGTON, MI 48332-0514 PHONE: 1-800-352-8971 ~ FAX: 248-449-7709 Email: info@allensnaturally.com

Delivery charge per address Continental U.S. Only
If order totals:	Add
Up to $30.00	$8.25
$30.01 to $60.00	$12.00
$60.01 to $100.00	$17.00
$100.01 to $150.00	$19.00
Over $150.01	15%
For delivery outside contiguous United States, call 1-800-352-8971 for exact charges.

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