SHS NORTH AMERICA ORDER FORM

For: Now We’re Cookin’ - PKU Cooking Video

To order a video, please send in order form below with a check made payable to:

SHS North America, P.O. Box 117, Gaithersburg, MD 20884

Price is $10.00 each and includes shipping.

Please indicate quantity desired.

Quantity = __________

Name

 

Address

- All sales are final

 

-Please allow 5-7 business days for delivery

Daytime Telephone Number

( )

-Please note we cannot ship to P.O. Boxes

-Signature required for delivery