CONTACT INFORMATION
E-mail: kiss@kissmethodinc.com
Phone: (801) 260-1269
Mailing address: (see below)

"Internet Special" $24.95 (U.S.$)
(Plus shipping/handling)

PRINTABLE ORDER FORM
Please print this form and fill out completely.

Please Mark at Least One of the Boxes
Clear


 
PURCHASER'S INFORMATION
Name
 
Mailing Address
 
City, State, ZIP
 
E-Mail Address
 
Phone Number
 
How did you hear about us?
 

PAYMENT (check one)

 
Visa
 
Mastercard
 
Check
Card Number
                               
Name on Card
 
Exp. Date
       
Signature
 
Quantity x $24.95 (US$) =
$                             
Plus tax 6.60% if Utah resident
$
Plus Shipping and Handling: $4.50 for 1, $6.00 for 2.
$
TOTAL
$

To print this form, use your print function on your browser.

Mail completed order form and payment to:

K.I.S.S. Method Inc.
9199 Mountain Laurel Ln.
West Jordan UT 84088