Pin Hole Glasses
PRINTABLE ORDER FORM—ORDER by phone, fax or email
www.BodyMindWisdom.com
TOLL FREE PHONE: (888) 575.5332 - FAX: (206) 339.5920

• By PHONE: print and fill out this form and call us at toll free at (888) 575.5332. If you reach our voicemail, please leave your phone number and indicate a convenient time for us to call you back.
• By FAX: print and fill out this form, including the credit card information below, and fax to
  (206) 339.5920. We will fax or call back an order confirmation.
• By EMAIL: use this form--copy & paste--as a template and indicate product, shipping, and credit card details and email to us at: pinhole-sales@bodymindwisdom.com.
• ONLINE, go to Pin Hole Glasses and indicate "Add to Cart" for the items you wish to purchase.
• To order DISCOUNTED BULK QUANTITIES (4 or more pairs), make sure to deduct 5% or contact us by email, phone, or fax, as above.

Shipping and Payment Information

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Thank you for your order.

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