Dr. Stork's Order Form
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To Order  Electronically: 
Please complete the form below, and press
the submit button.

 

Only $22.95
(Plus $6.50 S&H + $1.90 Tax  for CA residents. International shipping will be slightly higher.)

To Order Via Regular Mail:
Fill in the info then press the submit button. You will have a chance to print it out with all your info on it from the next Page.
First Name

Last Name 

Street Address 

City 

State
Zip Code 

( for inter. use "inter")

Country 

Date Needed By 

      

Phone Number 

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Email Address 

Number Of Kits 

Comments -  

 
(Click submit even if you are ordering via snail mail)

Complete all the information above and click the submit order button to
send an electronic order.  A Tummycast.com representative will get in touch with you regarding your order within 48 hours.
If you choose to print out this form and send it in, please fill it out in entirety
and click the "Get Order Form To Send Via Snail Mail" button.

Only $22.95
(Plus $6.50 S&H + $1.90 Tax  for CA residents. International shipping will be slightly higher.)

Dr Stork's Original Tummy Cast Kit
11684 Ventura Blvd. Suite 468
Studio City, CA 91604

Webmaster Ryan Parker
Copyright © 1989 [Dr. Stork's Original Tummy Cast Kit]. All rights reserved.
Revised: January 31, 2009 01:41 PM .