Get Bust Up Gum Order Form

Get Bust Up Gum Order Form
Cash Only 20% Discount
http://www.GetBustUpGum.com
Contact: Info@GetBustUpGum.com

Name
Address


Country
E-Mail Address

Item	Options	Quantity		Amount

Add up all Item Amounts and enter result in this box. ЧЫЫ Must be over us$25.00.			Item(s) Total:
Enter Shipping Costs (from your PayPal Shopping Cart) in this box. ЧЫЫ			Shipping:
Add Item(s) Total to Shipping costs and enter the result in this box. ЧЫЫ Subtotal = Items(s) Total + Shipping			Subtotal:
Multiply Subtotal by .2 and enter the result in this box. ЧЫЫ This is your 20% Discount. 20% Discount = Subtotal x .2			20% Discount:
Subtract 20% Discount from Subtotal and enter the result in this box. ЧЫЫ This is your payment. Cash only. U.S. Dollars or Euro. Total = Subtotal - 20% Discount			Total:

To order by mail:

Complete the above form. Copy Item information, Item Amount(s), and Shipping costs from your PayPal Shopping Cart. If you have questions about how to complete this form, please contact me before you send your payment.

Please send your payment (Cash Only in U.S. Dollars or Euro, do not send coins) for the Total amount. If necessary, use the Currency Converter located on the Get Bust Up Gum web site.

Send the Get Bust Up Gum Order Form and your payment by Registered or Certified Mail to:

CAD
P.O. Box 17191
Boulder, CO 80308-0191
United States

I will ship your package to you 1 business day after I receive your payment. You will receive a shipping confirmation by e-mail. Please make sure you have included a working e-mail address on this form.

Thank you for your order!