Carousel Fit-4-Life Wellness Center

                            

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Original website project by:

Order Form - Carousel Collection

 

Two-Methods:

1)  Mail Order:  Print, complete, enclose check and mail to: The Carousel Wellness Center, 513 North Main Street, North Little Rock, AR 72114;  or,

2) Schedule to pick-up: Call  (501) 372-3348, Email carousel@aristotle.net

 

Quantity Item Total
  x $15.99 - A Divine Connection Book =  
  x $14.00 -Child Large (14-16) T-Shirt =  
  x $15.00 - Adult S, M, L, XL, T-Shirt =  
  x $16.00 - Adult XXL, T-Shirt =  
  x $17.00 - Adult XXXL, T-Shirt =  
  x $18.00 - Adult XXXXL, T-Shirt =  

 

(Total Items Ordered)

X $2.50 - Shipping and Handling =

 
 

TOTAL =

 

 (Taxes included in prices; shipping extra and is estimated at $2.50 per item; Call ahead for total 501- 372-3348)

 

________  Pick Up,

________ Ship To:

 

Name: ________________________________________________________________

Address: ______________________________________________________________

City, State, Zip: _________________________________________________________

Phone:  _______________________________

Fax: _________________________________

Email: _________________________________

 

 

Cash:  ______

Check No:  _______

 

 

 

                               Updated July 2007

© 2005-2007 Copyright Carousel Fit-4-Life Wellness Center All Rights Reserved