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The Diet Solutions - Order Form |
Mail orders: Send this form and your check or money order payable to The Diet Solutions, L.L.P. to:
The Diet Solutions, L.L.P.
1712 Eye Street, NW, Suite 604
Washington, DC 20006
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Order Information Qty The
Black Diet Doctor's
Solution For Black Women DC residents add 5% $
Item
Price
Per Book
Total
$
16.95
$
Subtotal
$
Tax
$
S & H
TOTAL
$
Payment in U.S. funds must accompany order.
Name: ____________________________________________________________
Address: __________________________________________________________
City / State / Zip Code: ______________________________________________
Phone: ____________________________________ E-mail: ____________________________________
Check or money order for $_____________ is enclosed.
Signature: ____________________________________________________