FAR LaboratoriesTM

Order Form

Print this, Fill in the blanks, and either mail it, fax it, or call us with the information

Your Name  
Address 1  
Address 2  
City  
State  
Zip  
Phone*  
Email*  
   
Payment method [] Check (Allow 10 days for checks to clear)
  [] Visa Card
  [] Master Card
   
Credit card Information  
Name on card  
Credit card Number  
Card Type (visa mastercard only)  
Expiration date  
   
   
Shipping address if different USA and Canada Delivery only, for now.
Name  
Address 1  
Address 2  
City  
State  
Zip  
  * Optional

click here, If you have any questions, and want to contact us.



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FAR Laboratories
P.O. Box 10
South Hadley, MA 01075

800-336-9054

All You Add Is the Sky



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