Barton Publishing Inc.

Mail Order Form

** PRINT THIS FORM and mail it along with a check or money order**

1) Select the remedy report(s) you would like to order:    

Available Remedy Reports Quantity Price
Reflux Remedy Report ($39.97) 

______

______

High Blood Pressure Remedy Report ($39.97) ______ ______
Cholesterol Secrets Report ($39.97) ______ ______
Erectile Dysfunction Remedy Report ($39.97) ______ ______
Bad Breath Report ($39.97) ______ ______
Depression Remedy Report ($39.97) ______ ______
ADD / ADHD Remedy Report ($39.97) ______ ______
Arthritis Remedy Report ($39.97) ______ ______
UTI Report ($39.97) ______ ______
Gout Remedy Report ($39.97) ______ ______
Kidney Stones Report ($39.97) ______ ______
Yeast Infection Report ($39.97) ______ ______
Scabies Report ($39.97) ______ ______
Herpes Remedy Report ($39.97) ______ ______
Gallstones Report ($39.97) ______ ______
Graves Disease Report ($39.97) ______ ______
Lyme Disease Report ($39.97) ______ ______
Hypothyroidism Report ($39.97) ______ ______
Female Hairloss Remedy Report ($39.97) ______ ______

Optional: To receive printed copy* by mail, add $7.00 (USA) or $10.00 (outside USA) to each report here

----> ______

Sub-Total

  $_______

ORDER TOTAL

_______ $______


2) Fill out your information (print clearly):

Your Name _____________________________

Your Email Address __________________________________

Your Street Address _________________________________

Your City _______________ Your State _______ Your Zip Code __________

Your Phone Number ____________________

(We respect your privacy - we will never rent, share,
or sell ANY of your information with anyone, ever!)

 

3) Send us this form with a check or money order (U.S. Funds Only)

Payable to: Barton Publishing Inc.


Mailing Address:

Barton Publishing Inc.                          
P.O. Box 50
Brandon, SD 57005

                 

Our Trust Policy: If you'd like to download the remedy report(s) you ordered today, send an email to: sales@bartonpublishing.com stating that you have mailed a payment to the above address. Be sure to tell us which remedy report(s) you ordered, and we will reply to your email with a link for instant access, so you don't need to wait for us to receive your payment.

We don't want you to suffer any longer! Thank you for your honesty. We appreciate your business and hope you quickly find excellent health!