Dr. McNeely's Mail Order Form

Print out this form with your browser and mail it to us.


____________________ITEM_____________________SIZE__QUANTITY__$AMT._

_____________________________________________|_______|__________|_________

_____________________________________________|_______|__________|_________

_____________________________________________|_______|__________|_________

_____________________________________________|_______|__________|_________

_____________________________________________|_______|__________|_________

_____________________________________________|_______|__________|_________

_____________________________________________|_______|__________|_________

_____________________________________________________| Sub Total :_________

___________________________________________| Shipping & Handling :_________

________________________________________________________| Total : _________

* Make checks payable to "Dr. McNeely's Office," and include shipping charges.


Ship my order to: (please, print clearly)

Name: ___________________________________________

Address: _________________________________________

City: _____________________ State: _____ Zip: _______ Country:______________

E-mail address :_____________________________ Phone: (_____)_______·__________

|_______________Case Prices______________ |_______Single Item Prices__________|
|__4 (32 oz.) Bottles___ |__ 6 (8oz.) Bottles____ |__ Other Sizes____ |____Books_____|
Juice Drink $50 | Gelly $60 | Creme (4 oz. $10 | Inside Story $28
Gelly $128 | Lotion $60 | Creme (1 lb. $32 | Silent Healer $35
Lotion $128 | Liniment $60 | Liquid (1 gal $60 | Creatures In
| Our Care $37
Liniment $128 | Liquid $60 | Capsaloe 4oz. $15 | Healing Winners
| $10 ($1 s/h)
$6 per case s/h | $5 per case s/h | $4 per item s/h | $4 per book s/h
| Gal.=$6 s/h

MAIL TO: Dr. McNeely's Office, 404 Upshur, Gladewater, TX. 75647.

HOME | BACK TO C.O.D.