Mail Order Purchase Form
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Please complete this form and mail with payment in U.S. Funds
1-Jar Bee Clear US & Canada $14.97
2-Jars Bee Clear US & Canada $26.97
 
2-Jars Bee Clear  International $32.97

Make Payable to and Mail to:
Jim Longnecker
1145 Orchard Park Circle
Pflugerville, TX 78660 USA

Name ____________________________________

Address __________________________________

City _____________________________________

State __________ Zip Code __________________

Email Address _____________________________

Your order will usually be shipped within 24 hours of receipt.  Prices include shipping.

We accept money orders, personal, and business checks in U.S. Funds. International orders are welcome but must be in U.S. funds!

Thank You for Your Order!

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