Naturmix USA Fax Order Form
Just fill this form out then fax or mail it to:

Naturmix USA, PO Box 682, Cumming, GA 30028
Phone: 1-800-825-1669 ~ Fax: 770-781-4723

Naturmix allows you to make payment either by charge card or by check. Please do not email credit card information. This form is for fax and snail mail only. Simply print out this page, provide credit card information in the boxes below then fax or mail it to Naturmix. The address and fax # are listed at the top of the page.

Please provide the following contact information:

Name
Organization
Phone
FAX
E-mail

Please provide the following ordering information:

QTY.
DESCRIPTION

SIZE

PRICE

SUBTOTAL

Order Total

Shipping (table)
Georgia only please add your local sales tax

Total
BILLING
Credit card
Cardholder name
Card number
Expiration date
SHIPPING ADDRESS
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country USA and Mexico only please!

When completed, please print this form out and fax or mail it to:

Naturmix USA
PO Box 682
Cumming, GA 30028


Fax: 770-781-4723

 

Shipping Charges

UPS ground shipping charges within the contiguous United States

Weight U.S.
Under 10 lbs. $9.00
10 lbs. up to 20 lbs. $11.00
To calculate shipping cost add up your product weight to 
determine the appropriate shipping category. 
For orders over 20 lbs. and special delivery requests, call for charges.

Next day, 2 day, 3 day, and Saturday delivery are available at an extra charge
Alaska, Hawaii, Puerto Rico, Bermuda, Virgin Islands, and Guam 
will be shipped by US post (priority mail), please call for charges. 
Insurance and delivery confirmation will be applied and billed.
Last revised: June 7, 2004

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