Shipping: Add $7.50 for US Domestic Shipping on your first Long Hot Water Bottle; $2 for each additional item.
$23.00 for International Shipping outside of the US; $4 for each additional item.
Orders within New Jersey are subject to 7% sales tax.

Satisfaction Guaranteed - 100% Return Policy Less Shipping

Please complete the form below and mail to the address below or fax this page to: 201 288 1493
Name: _______________________________________
Street Address: _____________________________________
City: _______________________________
State: ______________________________	Province/County: ________________________________
	(for overseas orders only)
Zip Code: ___________________________
Telephone: __________________________
Quantity: _________ @ $19.95
Quantity Total: _________
Shipping:   $7.25 in USA (overseas $12.00 USD)
Tax: $ _________________ (7% - NJ residents only)
Price Total: $ _________________
Ships priority mail within 1 to 2 days by US Postal Service. Express mail deliveries available on request. For large orders, call or for quote.

If you have questions, call: 201 288 4924

Mail this form to:
World's Longest Water Bottle
PO Box 229
Hasbrouck Heights, NJ 07604