12 Step Review Order Form
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Shipping & Handling: To Where?
Total: Shipping and handling is by USPS Priority Mail for all orders in the US,
and by First Class/Airmail for all other countries.

If your order is complete, please continue by filling out the information below:
Customer Information / Details: * indicates required information.
* Name:
* Address:
* City:
* Zip/Post Code:
* Email Address:
* Phone:

Shipping Address: Same as above
* Recipient Name:
Zip/Post Code:
* Country:
*Payment Method: (Choose one)
Mail your order paid by check. US ORDERS ONLY!
Checks or money orders must be in US dollars.
Visa/MC by secure web page
VISA/MC credit card secure web page orders are the preferred order method both domestically and internationally. Appropriate international shipping charges for the order will be billed to the credit card along with the purchased items.
Fill this section out only if you selected to pay by credit card over the web.
Card Type:
Card Number:
Security Code
(back of card)