Wholesale Regular Order Form for Liquid Magnet

Please print this order form to mail your order. If you want order online, using your credit card, please go to our Secure Online Order Form. Ship To: (Please Print) Name:______________________________________________________________________ Company:__________________________________________________________________ Address:___________________________________________________________________ City:_________________________________State___________Zip__________________ Telephone:________________________ (in case of a question about your order) Your E-Mail Address:________________________________ Thanks for your order! Item # Description Quantity Price Item # 033 Liquid Magnet |______|______| SUBTOTAL |______| Texas Orders Add 6.5% Sales Tax |______| TOTAL |______| CREDIT CARD ORDERS To charge your order, please check-> __Visa __MasterCard __American Express __Discover__JCB __Diners Club Credit Card Number_______________________________Expiration Date_____/_____ Card Holder's Name (please print)__________________________________________ Card Holder's Signature____________________________________________________ Mail this order form with your check or M.O. to: Gemini Publishing Co., 3102 W. Bay Area Blvd., Suite 707, Friendswood, TX 77546. Thanks for your order. P.S. For those of you that wish to pay for your order using PayPal: To send payment: Log in to your PayPal account, click Send Money tab, and pay using my email address: getgirls@getgirls.com

For those of you that don't have a PayPal account, it is very easy to set up an account that is very safe and secure at: http://www.paypal.com


[ Liquid Magnet Distributorship | E-Mail | Secure Online Order Form | Gemini Publishing Home Page]