RESERVATION DEAD LINE: DECEMBER 10th ORDER NOW !
Your credit card will not be billed at this time. We will charge your credit card each month for that months selected kit plus shipping only when the kit is shipped to you. You will receive a confirming email prior to each shipment.
INDIVIDUAL KITS $109.95 PLUS SHIPPING
PRICE
SHIPPING
TOTAL
JSEP
CHOCOLATE RASPBERRY PORT
$109.95
Payment Method:
Visa, Master Card, Discover and American Express
Card Number
:
-
-
Expiration Month:
01
02
03
04
05
06
07
08
09
10
11
12
-
Year:
2007
2008
2009
2010
2011
2012
2013
2014
Please enter the
CARD SECURITY CODE
on the back of your credit card:
Billing Address of Credit Card Holder
Name:
Street:
City:
State:
-
Zip:
-
-
Phone:
-
Email:
-
Ship To Only if other than your billing address
Name:
Street:
City:
State:
-
Zip:
-
copyright 2004 J.R.Leverentz
CHOCOLATE
RASPBERRY PORT $109.95