Mail Order Form for Vaccination Liberation


Name:______________________________________________

Address 1:_________________________________________

Address 2:_________________________________________

City:_______________________________, State/Province:______________

Country:___________________________, Zip/Postal Code:_____________

Quantity	Item Description	              Unit Price  Total

_______|_____________________________________________|__________|_________

_______|_____________________________________________|__________|_________

_______|_____________________________________________|__________|_________

_______|_____________________________________________|__________|_________

_______|_____________________________________________|__________|_________

Full or above (not Basic) Members may take      Product Total: ___________
a 20% discount on Books, DVDs, bumper           - Discount:    ___________
stickers, CDs but not Archive I+II CD,           Sub-Total:    ___________
pads, posters, or postcards.                    * Shipping:    ___________									   		               
                                Sub-Total + Shipping  = Total: ___________ 


*Shipping: 1 item	2 items	  3 items  4 items or more
USA	       $ 7	    $ 8	      $ 9	   $ 10

Until further notice, for shipping outside the USA please
contact us at  Ingri Cassel   info@vaccinetruth.com    or 
at the address below for current prices out of the USA.
     
           *Note: There is no shipping charge on donations, 
membership, bumper stickers or static cling stickers.            
Please send your check, or money order to:
Vaccination Liberation
P.O. Box 235 
Hayden, Idaho 83835-0235

Contact Us.