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Use this online order form to place your order for the Mindfold Relaxation Mask without using your credit card.
**Please note that this form is only for orders within the USA. We cannot accept non-credit card orders from outside of the USA.

Follow these three simple steps:

        1. Fill out the order form below.

        2. Press the submit button.

        3. Wait for us to contact you regarding your total cost and payment options.

Yes, I would like to order the Mindfold Relaxation Mask!

Please ship me (qty.) Mindfold Relaxation Mask(s) at $19.95 each.

Payment Options: Check Credit Card (MC, Visa, Amex, Discover)

When is a good time to reach you?

My Shipping Information:
Contact Name:
(first, last)
Company Name:
Shipping Address:
Postal Code:
Phone Number:
(including area code)
Email address:

Enter your Special Rate Code Here (if applicable):



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