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Dr. Ben F. Irvin

P.O. Box 4014       

Pocatello, Idaho 83201-4014  

Telephone (208) 478-4949

  Free Shipping!!!! (For orders of $45.00 or more)

{Be sure to request my FREE brochure!}

  _____________________________________________________________________

Phone: (208) 478-4949/Fax: (801) 365-4192/e-mail: birvin@allidaho.com

                    Visit us at our internet web location: http://members.tripod.com/ben-irvin 

Product

Blend name Tamper Description or Art

Pouch Size

Price

Qty.

TOTAL

 

SHIP TO:

 

 

 

 

 

 

Name:

 

 

 

 

 

 

Company:

 

 

 

 

 

 

Address:

 

 

 

 

 

 

City, State, Zip:

SUBTOTAL:

 

 

Work Phone:

$4.00 charge if COD :

 

 

Home Phone:

$4.50 Shipping and Handling if under $45.00

 

 

 

TOTAL:

 

 

 

 

 

It's Easy to Order:

 

By Phone:             (208) 478-4949     or  

FAX this form to: (801) 365 4192.

By Check: Just complete this form and send it to us with your payment to Dr. Ben Irviní address at the top of the page.

Free Shipping on orders over $45.00

COD Orders add $4.00

 

 

 

 

 

 

 

 Dr. Ben's Home Page

Online Order

Dr. Ben Irvin

PO Box 4041

Pocatello, ID 83201-4014

Phone (208) 478-4949

Fax      (801) 365 4192