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Heart of the Earth Order Form
Choice #1 Mail or Fax order, click here.Heart of the Earth Market
205 High St.
Fruitdale, SD 57742         USA
(800) 526-1644
Fax: (605) 892-0154
Choice #2 E-Mail Order:
(1) Fill in the order form below.
(2) Press "Done" below form
Choice #3 Call us at (800) 526-1644 or (605) 892-0154
Prices do not include shipping.
1 lb. to 7 lbs. will be shipped Priority Mail,
8 lbs. and up will be shipped regular ground UPS.
If you require faster service, or for shipping outside of the US please inquire.
Telephone number required, this is used for credit card processing only!

Please note that when this charge appears on your credit card statement,
HEART OF THE EARTH MARKET will be the business name.
Thank you.
Item
No.
Description Qty Unit
Price
Total
Sub Total:
Tax (South Dakota Residents Only add 6%):
Shipping - If you do not know the shipping, we will figure it:
If you would you like Postal Insurance, add $1.00:
Grand Total:
Your Name
Street Address
Mailing Address
City
State
Country
Postal or Zip Code
E-mail Address
Telephone No.
Credit Card
Name on Credit Card
Credit Card Number
Expiration Date(on card)

Special Instructions
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all entries.
If you are concerned about E-Mailing credit card information, leave blank and we will call you to get it.   Or you can mail, fax or call in your order.

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