Keith T. Wright's Order Form

Order Form

Please Print Form , Complete, and Return with Check or Money Order Made Payable to:
Keith T. Wright
20 South Main Street, Apt. #135
Glassboro, NJ 08028

_______________Item*___________________________	Price	Quantity	TOTAL
A Heathy Foods and Spiritual Nutrition Handbook	$12.75	______	______
Are Relationship Problems The Man's Fault	$10.95	______	______
Beat the Sugar Habit-The Sweet Fetish	$10.95	______	______
Fully Figured, Fully Healthy, Fully Loved	$11.75	______	______
Look Good, Feel, Great, Lose Weight Naturally	$15.95	______	______
Weight Loss Tape	$5.00	______	______
Reflections on the Million March	$12.95	______	______
Power and Motion Poster	$3.50	______	______
Sucess and Motivation Poster	$3.50	______	______
		Sub-Total	$_____
		Shipping Charge*	+_____
		Total for Order	$_____

*Shipping & Handling:Please Add $3.00 per Book and $1.50 per Poster

Name ______________________________________________ Address ___________________________________________ City _____________________ State _____ Zip ________ Telephone (____)___________ FAX (____)_____________ E-Mail_____________________________________________

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