Shipping Information:
   
1..

All fields with a single asterisk (*) are required.

   
2.

The Fax Number (**) is required if you wish to have your analyses faxed.
 
   
3.
If you have selected to have analyses and/or samples mailed outside of the U.S., please fill in the fields with a triple asterisk (***).
   
4.
If you are not satisfied with any of the selections
press the "Reset" button at the bottom of the form, and re-key your information.
   
5. If you are satisfied with your shipping information, press the "Print Order Form" button.
   
6.

Gather the following documents to complete your
Mailing Checklist:

1. Order Form
2. Shipping Form
3. Samples
4. Check/MO (Payable to Fritz Springmeier)
   
7.

Mail to:
 
Fritz Springmeier
2870 NE Hogan Road
Ste. E #135
Gresham, OR 97030
   
8. To complete the order, press the "Complete Order" button.
 
 
 

Courtesy Title:

 
*First Name:
*Last Name:
*Email Address:
**Fax Number:
*Address 1:
 
Address 2:
 
*City:
*State (If US):
 *Zip/Postal Code:
***Region/Province (International) :
***Country: