Get Bust Up Gum Order Form
http://www.GetBustUpGum.com
Contact: Info@GetBustUpGum.com

 

Name

 

Address

 

 

 

 

 

Country

 

E-Mail Address

 

 

Item

Options

Quantity

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal:

 

 

 

 

Shipping:

 

 

 

 

Total:

US$

To order by mail:

  1. Complete the above form. Copy Item information off your PayPal Shopping Cart.
  2. Please send a Money Order (US Dollars Only), Bank or Cashier's Check (US Dollars Only), Personal Check (US Dollars Only), or well-hidden cash (not recommended) in US Dollars or Euro for the Total amount. If necessary, use the Currency Converter located on the Get Bust Up Gum web site.
  3. Send the Get Bust Up Gum Order Form and your payment to:

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

    Please make Money Orders and Checks payable to "CAD".

 I will ship your package to you once your payment clears my bank.  You will receive a shipping confirmation by e-mail.

Thank you for your order!

© 2005 - 2008 GetBustUpGum.com and CAD Consulting.  All Rights Reserved. Updated May 2, 2008.