Julie's Golden Elk Products 11916 Ashton Road North East, PA 16428 Ph: 814-873-3355 www.GoldenElkAntler.com E-mail: jtwner@yahoo.com ORDER FORM GOLDEN ELK ANTLER Formula One 100% whole velvet antler 100 - 250 mg capsules @ $30.00 _____________ 60 -250 mg capsules @ $18.00 _____________ Subtotal _____________ (PA. residents add 6%) Shipping & Handling _____________ (add $1.50 for 1 bottle, add $3.00 for 2-4 bottles, add $4.50 for 5-12 bottles, 2 or more CASES are free shipping) GRAND TOTAL _____________ SHIPPING INFORMATION NAME______________________________________ ADDRESS___________________________________ CITY_______________________________________ STATE________________ZIP___________________ Just in case we have to phone you......... DAYTIME PHONE__________________________ Thank you for your order!