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 _____________________________
( ) 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