Critters Be Gone - Order Form

www.GoodbyeCritters.com - Order Form

Order Number:

Instructions For Use:

Print this page. Your order number is unique to you and should be used on all correspondence for your order.
Fill out order form completely. (Print or Type)
Mail order form and payment to:
Money Works
3205 North 1800 East
North Logan, Utah 84341

Company Name:

First & Last Name:

Street Address:

City: State:

Zip / Postal Code:

Telephone #:

Email Address:

Critters Be Gone Kits - Qty:

Flat Rate Shipping & Handling:
USA / Canada - $9.95 plus $2.95 S/H per kit
Non-USA International customers - inquire shipping & handling charge via email

Utah residents please add 6.35% sales tax

Purchase Total:

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Your Personal information is used only to fill orders. It will never be shared or sold.