Check Or Money Order Payment Form

**Please PRINT THIS FORM and mail it along with your payment**

Report Title - In Order Of Popularity Quantity Price
Reflux Remedy Report _____ $39.95 $19.95
High Blood Pressure Remedy Report _____ $39.95 $19.95
Erectile Dysfunction Remedy Report _____ $39.95 $19.95
Bad Breath Remedy Report _____ $39.95 $19.95
Depression Remedy Report _____ $39.95 $19.95
Diabetes Remedy Report _____ $39.95 $19.95
Arthritis Remedy Report _____ $39.95 $19.95
UTI Report _____ $39.95 $19.95
Gout Remedy Report _____ $39.95 $19.95
Kidney Stone Report _____ $39.95 $19.95
Yeast Infection Report _____ $39.95 $19.95
Scabies Report _____ $39.95 $19.95
Gall Stone Report _____ $39.95 $19.95
Graves Disease Report _____ $39.95 $19.95
Lyme Disease Report _____ $39.95 $19.95
Hypothyroidism Report _____ $39.95 $19.95
Optional: to order a printed copy*, please add $6.00 (USA) or $10.00 (USA) here: _____
Sub-Total: $_____
Optional: If you order Two Reports or more, you can take a 25% Discount on your total order: (_____)
Order Total: $____

*Note: These reports are for download on your computer - we will email you a link to the report TODAY (see below for details on our "trust policy").

If you order a printed copy, we will send you a download link today (if you email us), and you'll receive a printed copy of the report in 3-4 business days after we receive your payment (if you are in the USA). Bonus reports are not available for mailing, they are for download only.

Step 2.) Fill out your information (print clearly)
Your Name: ________________________
Your E-Mail: ________________________
Your Address: ________________________
City: ____________ State: ____ Zip Code: _________
Step 3.) Mail this form, and your Check or Money Order (U.S. Funds ONLY - use International Money Orders for outside USA),payable to "Barton Publishing Inc." to:

Barton Publishing Inc.
P.O. Box 50
Brandon, SD 57005

Step 4.) Our Trust Policy

If you'd like to receive quick access to the report(s), send an email to [email protected] stating that you have mailed a payment to the above address. Be sure to tell us which report(s) you ordered, and we will reply to your email with a link to the report(s), so you don't need to wait for us to receive your payment. We don't want you to suffer any longer! Thank you for your honesty. We appreciate your business and hope you quickly find excellent health!



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