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Magnetic Therapy
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Order Form
This is a Print Out Order Form

Therapy "4" Life

Order Form

(Print out and use for your records)

If this is a mail in order send with order


Stock #



How Many

Total Cost













































































































































Regular Shipping & Handling (Up To $35.00

$      6.00

Additional Shipping & Handling (Over $35.00)


Total Order With Shipping & Handling


Shipping Payment (overage) will be returned with order.


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