HEART GUARD™ PRINTABLE ORDER FORM
Print this page, fill out, and mail with payment
to the address at the bottom of this page.

Name
Street Address #1
Street Address #2
City
State
Zip
Country

The Heart Guard Care-Card™ is available in a set of 6 cards.
Each set comes complete with 2 hearts in each card,
envelopes, and protective mailer envelopes.

ORDER FORM

Heart Guard Care-Card™ (Set of 6 cards, envelopes & mailers)	$18.00 U.S. or $23.00 International	X	(Quantity)	=	SUBTOTAL
Shipping and handling costs all ready included in price					$0.00 S&H
*  RESIDENTS OF CALIFORNIA ONLY    Add $1.60 for each set ordered.					TAX
Send check or money orders in US DOLLARS ONLY.					TOTAL

Please print and mail this form with check or money order to:

Audrey West Associates
P.O. Box 50076
Irvine, CA 92619-0076

Please allow up to three weeks for delivery.