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,		 		 Sub-Total:    ___________
pads, posters, or postcards.   			* Shipping:    ___________									   		                
                                Sub-Total + Shipping  = Total: ___________ 

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

For shipping ouPlease 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 and bumper stickers or static cling stickers. 
Shipping is included in the price of bundles postcards.            
Please send your check, or money order to:
Vaccination Liberation
P.O. Box 235, 
Hayden, Idaho 83835-0235