Print out this form, fill in your information, enclose money order, cash, or Traveler Checks (*all in US DOLLARS*) made out to Tat B Gone and mail to address below. It’s Easy! Tat B Gone PO Box 774 Sarasota Fl 34230  USA

Name: _______________________________________________________

Address (Street): _______________________________________________

City __________________________

State or Province_________________

Zip/Postal Code _____________

Country ___________________________

Phone ____________________

Email _____________________________

Please send me:

( ) Trial Kit – $64.99 plus s/h $6.95(US) $9.95 – Int ____________

( ) 2 Mo. Supply – $129.99 plus s/h $9.95(US) $14.95( Int) ____________

( ) 4 Mo. Supply – $194.99 plus s/h $14.95(US) $16.95(Int) ____________

( ) Best Value 6 Mo. Supply – $294.99 FREE s/h US & Int____________

( )  10 Mo. Supply – $474.99 FREE s/h US & Int ____________

TOTAL COST: ____________

Please NO PERSONAL checks