STOP SMOKING
The EASY WAY

Taper-Down
QUIT SMOKING
At Your Own Pace
This is the way Doctors and Pharmacists recommend most.
Give one to
your friend or loved one
 




 




 



Thank You for coming to the on-line order page


The order form below is for cash and check orders only. It is not necessary to fill the form out for credit card orders, just click on the red order button in the box below, next to the style you prefer.















Credit Card Orders     -     Click Red Button next to the style you are ordering


















Dark Polished Hardwood - $14.95 Each

Shipping & handling: 
 USA $1.00 -   Canada $2.00 -  Overseas $3.00
Includes S&H for up to 4 Personal Perforators


credit card ordering









Light Polished Hardwood - $14.95 Each

Shipping & handling:
 USA $1.00 -   Canada $2.00 -  Overseas $3.00
Includes S&H for up to 4 Personal Perforators


credit card ordering








 To place an order using cash, money order or check, please fill in the blanks below.
 Type in any specifics in the feedback space. Please be sure to send an e-mail address as this is the confirmation method used when you order. You will receive an e-mail invoice with address to mail your payment to. All Perforator orders are sent through the U.S. Postal service using 1st class Mail.










Date:


First name : 


Last name  : 


Phone No. : (optional)











Shipping Information






Street Address :


Street Name :


Apt Number :
 		





City :

State:

Zip Code :









For International orders, please fill in complete mailing address below **






E-mail address : (Required for Cash, Money Order or Check Ordering)













Click the drop down arrows to fill in the order blanks. For larger orders or bulk orders type in the amount of perforators and the shade combination in the text input form below. For bulk orders be sure to send e-mail address and phone number in the appropriate spaces above.







LIGHT WOOD 





DARK WOOD





TOTAL DUE 








Please fill in below the order you wish us to process for bulk orders.
 (Less than 5,000 characters)










When the order is sent you will be directed to the page for sending
 the payment to and full mail order details. Thank You






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All Major Credit Cards Accepted

for credit card orders only


Remember
One pack per day for one year
EQUALS
One Hawaiian Vacation






 


 











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Inquiries should be directed to mccann@usarc.net