Order by Fax:

Please fill the following Order & Shipping information form. Calculate total amount (product + freight)
add sales taxes only if in Colorado Fax the completed Order & Shipping information form to:

Juniper Enterprises
Fax : 1 970 923 6885 1711
Juniper Hill Road
Aspen, CO. 81611 USA

Order & Shipping information form : Jade Eggs

* Are required fields

Ship to:
* Name ___________________________________
* Shipping Address __________________________
*City______________________________________
* Zip code _________________I*State__________________I*Country_______________
Phone Fax Email __________________I__________________I______________________

Bill to: (If different) Name or Company
* Name ___________________________________
*Address__________________________________
* City ____________________________________
* Zip code _________________I*State__________________I*Country_______________

Product :
*Product name ______________________I * Product Price____________________

* Shipment option please add US Ground $ 7 US 2nd day
or Canada standard $ 12 Europe standard $ 25
All other countries $ 29 ______________ Tax (Colorado resident please add 5.4 % of the price) ______________
*Total __________

Credit Card: Visa - MasterCard - American Express  Club Discover
* Credit Card Number ____________________I* Expiration date______________________ Comment : _________________________________________________________________

Please fax the completed form to 1 970 923 6885 Thanks for your order!


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