Honeybees by Mail

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Bees in a Bottle Order Form

STEP ONE: Enter your Shipping Information:

Name: Street Address:
City: State: Zip:

STEP TWO: Enter the quanity you want to order & select the shipping.

PRODUCT QUANTITY PRICE TOTAL

Bees in a Bottle

SHIPPING

GRAND TOTAL

STEP THREE: Press calculate button for your total:

STEP FOUR: Print this page.

RELEASE FORM The undersigned assumes all risks involved in using Bees in a Bottle and holds Greg Ferris harmless. I understand that Greg Ferris makes no claims as to the safety or effectiveness of the product. I further understand that allergic reactions to bee venom can be extremely dangerous and can cause death.

Signed_______________________________________________________________________
Orders of Beesinabottle will not be shipped without signature.

STEP FIVE: Sign release & send the printed form with payment to:

Greg Ferris
PO Box 143
Marbury, Md. 20658

Make checks payable to: Greg Ferris