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Order Form

Print this form.

 

Special Foods!™
9207 Shotgun Court, Springfield, VA 22153
ph#:703 644-0991 fax: 703-644-1006
web: www.specialfoods.com email: kslimak@ix.netcom.com

Visa/MC # _______________________________________ Expiration Date: _____________________________________
SHIP TO: ________________________________________ ORDERED BY : ____________________________________
ADDRESS: ______________________________________ ADDRESS: ________________________________________
CITY:______________ ST: ____ ZIP: _________ CITY:______________ ST: ____ ZIP: _____________
PHONE #: (___) ________________________________ PHONE #: (___) _________________________________

NEED RECIPES? PLEASE MARK IN THE COLUMN BELOW THE ASTERISK

QUANTITY

SIZE

NAME OF ITEM - PLEASE PRINT
(One item to a line)

SPECIAL INGREDIENTS

*

PRICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBTOTAL

 

COSTS FOR POSTAGE, HANDLING AND INSURANCE
(ENTER AMOUNT CALCULATED ON OTHER SIDE OF THIS PAGE)

 

VIRGINIA SALES TAX, 4.5% (VA RESIDENTS ONLY)

 

TOTAL PRICE

 



Introducing Special Foods | The Interview | Karen's Resume | Karen's Special Story | Identifying Special Foods
Special Processing | Cooking And Testing | Invest In Your HealthTax Deductions
The Special Foods Comprehensive Program | The SF Environment Program | SF Diet Case Studies | CIP Enrollment Forms
Example 7 Day Rotation Diet | Blank Rotation Diet Sheet | When Your Child Needs To Gain Weight
Help For A Queasy Stomach | Gluten And Casein Free | Candidiasis Information
Celiac Disease Information | An Open Letter To Mothers Of Autistic Children | The Special Foods Diet - for Autism
The SF Environment Program For Autism | Recovery Patterns | SF Autism Case Studies | Autism Enrollment Forms
Complete Listing Of All Products And Prices | Product Summary Table | Ordering Information | Credit Card Info
Order Form | Our Return Policy |
Special Requests | Case Studies | Customer Corner | Links | F.A.Q.
All information on this page and web site - © Special Foods: 2000 - 01