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GiNyla's Tea Room         Printable  Order   Form

If you'd like to Order your Kombucha starter by mail with Cash or Money Order ( No Personal Checks ) Just print out this simple form , and send to: 43715  740th Avenue, Truman , MN.  56088 Your Order will be shipped within 5 business days of payment recieved... .    Make  Money Orders Payable to :GiNyla

(1) Kombucha Mushroom____________________ $12.00 (2) Kombucha Mushrooms___________________ $19.00                                                                           (save $5.00)

(3 or More) Kombucha Mushrooms_________ $10.00/ each (3)___= $30.00 (4)___= $40.00

Send to: Name:_____________________________________________ Address:____________________________ Apt#___________ City:________________ State:____________Zip:__________ Email address(optional)_________________@_________________

Total amount enclosed $____________ Method of Payment:                      Cash ___       Money Order   ___

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Health Benefits of   Kombucha Tea

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