Order Form

Get YourDOUBLE STRENGTH
Miracle Relief FormulaŽ At The 
Special Low Price Of Only $29.95 A Jar!

YES! Rush me one 4 oz. Jar of Miracle Relief FormulaŽ @ $29.95 plus $4.00 shipping & handling.
YES!  I am Ordering 3 Jars of Miracle Relief FormulaŽ for a total of  $89.85, plus $8.00 shipping AND I GET A 4th JAR FREE!  A savings of $29.95.
YES! I am ordering 8 jars of Miracle Relief FormulaŽ for a total of $239.60, plus $15.00 shipping & handling, and receive 4 jars FREE! (A TOTAL OF ONE DOZEN!) A savings of $119.80.

Mail Order to: Lockman Publishing, 410 First St. W., Lancaster, MN 56735.  
Ph: 218-762-1341.  Fax: 218-762-4741.  E-Mail: miraclereliefformula@wiktel.com

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