Serving You Since 1997

Androstenone Male (large) Giant 34ml bottle and
Androstenone Female (large) Giant 34ml bottle
Pheromone Attractant Fax / Mail in Form

Print this form for mailing and faxing

VISA/MC/Discover/AmerExp/CASH CHECK/MONEY ORDER

Print this form fax to: Fax# 1- 509-248-8864

Instructions for E-Mail orders:

Fill out order page, go to; Edit, Select All, Copy, Paste to E-Mail Page,

Now Fill out the rest of the order form. Send to: kenny@kennys-ins.com.

A)Androstenone Male (large)^tm Pheromone for Men

1 bottle of Androstenone Male (large)^tm..........................$49.95
2 bottles of Androstenone Male (large)^tm.........................$76.95
3 bottles of Androstenone Male (large)^tm.........................$98.95

B)Androstenone Female (large) Pheromones for Women

1 bottle of Androstenone Female (large) ^tm..........................$49.95
2 bottles of Androstenone Female (large) ^tm.........................$76.95
3 bottles of Androstenone Female (large) ^tm.........................$98.95

C)(Mixed order) Androstenone Female (large) for Women and Androstenone Male (large) for men

1 bottle of Androstenone Male (large) and 1 bottle of Androstenone Female (large) ^tm..........................$76.95
1 bottle of Androstenone Male (large) and 2 bottles of Androstenone Female (large) ^tm..........................$98.95
2 bottles of Androstenone Male (large) and 1 bottle of Androstenone Female (large) ^tm.........................$98.95

3. Shipping Choices & Charges ( Please choose the one that you would prefer. )

Within the U.S.A. Regular Delivery.....$5.00.
Outside the U.S.A. Regular Delivery ......$5.00.
Within the U.S.A. Same Day Rush Shipping U.S.P.O. PRIORITY MAIL ......$10.00.
Outside the U.S.A. Rush Delivery anywhere in the world Global Priority when available...$15.00.

I am enclosing (Please indicate)
CASH CHECK MONEY ORDER CREDIT CARD/in U.S. Dollars

ACCOUNT #_____________________________________

EXPIRATION DATE__________________

Signature_______________________________________

Name__________________________________________

Address________________________________________

City_____________________________State__________Zip Code_____________

Email Address_________________________Phone#________________________

Shipping Address if Different from above address

Address________________________________________

City_____________________________State__________Zip Code_____________

MAIL TO:
Gunderson Enterprises
732 Summitview Suite # 724
Yakima, WA 98902 -3032 USA

Fax# 1-509-248-8864

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Revised January 15, 2007