Beyond the Rainbow Order Form

Print out, and Mail or Fax completed order form to: Beyond the Rainbow
PO Box 31672, St. Louis, MO 63131-0672 or
 PLEASE NOTE OUR NEW FAX NUMBER IS 314-909-6617 

ITEM# ITEM DESCRIPTION PRICE
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  Insured shipping and handling $9.00
  Total __________
In the continental United States, insured shipping/handling is $9.00
All others will be charged the best rate for insured airmail.

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Print Name                                                         USPO deliverable address
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City                              State                               Zip                    Home phone number
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Work phone number                                           FAX number
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Email address

Circle one:   MasterCard      Visa     

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Account number                                           Expiration date
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Name on card ______________________________________________________________________
Signature                                                            Date
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