Gano Order by Mail Form
Print and mail this document to:
Advanced Marketing, 2050 Beavercreek Rd., #310, Oregon City, OR 97045
PAID to: Advanced Marketing

Full Name:
Street address :
_________________________________________________________________________
Phone:____________________ Fax:_______________________
E-mail:
Order Form: Price: Quantity:
Gano Cafe 3-In-1 - ( 20 Sachets  )   $16.00 ______
Gano Schokolade - ( 20 Sachets ) $17.00 ______
Ganocafe Mocha - ( 15 Sachets ) $20.00 ______
Ganocafe Classic (Black) - ( 30 Sachets ) $16.00 ______
Ganocafe Tongkat Ali - ( 15 Sachets ) $16.00 ______
Gano Tea SOD - ( 20 teabags  )   $16.00 ______
Gano C'real Spirulina Oats - ( 15 Sachets )   $16.00 ______
Ganoderma - ( 90 Capsules ) $35.00 ______
Excellium - ( 90 Capsules ) $35.00 ______
Sakanno - ( 60 Capsules ) $34.00 ______
Gano Fresh Toothpaste - ( 1 tube 5.07oz) $10.00 ______
Gano Soap - ( 2 round bars ) $9.00 ______
 * Include shipping and handling                     S&H = ______
  Total: ______
(Priority Mail) Shipping and handling for US is: 
1-3 Items - $10.35 - * 4-7 Items $13.95 - 9 or more $19.95

All prices are in US dollars.

Message:__________________________________________________
 Information Package? Yes or No (Please Circle)

Payment to: Advanced Marketing 

Adrian V. Mathews: (503) 353-8968 - www.CafeCanoCoffee.com
www.AdrianMathews.com