Angelic Heaven Order Form


Customer Shipping Information:

Customer Name: 
Address:
City/Country: State:
Zip:
Telephone:
Fax:
E-mail:

Please fill out if the credit card address if different than the shipping address above:

Credit Card Name: 
Card Address:
Card City/Country: State:
Card Zip:
Card Telephone:
Card Fax:
Card E-mail:




PRICES Shipping/Handling for US ONLY:

Please include in the TOTAL column below: shipping/handling plus 8.25% sales tax (if ordering from within CA).


Angelic Heaven Product Order Form:

QTYSZItem Number and DescriptionPRICE EACHSHIPPINGTOTAL
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Payment Options
Pay by Credit Card Pay by PayPal. If using PayPal.com use mpingel@msn.com to send money.

Pay by Western Union. If using Western Union.com use mpingel@msn.com to send money. - ALL ORDERS DONE WITH WESTERN UNION WILL BE SENT OUT IN 24 HOURS!!!!!

Pay by Check Send All Written Payments To:
Mike Pingel
1155 Hacienda Pl #309
West Hollywood, CA 90069


Any Questions please email at mpingel@msn.com or call 323.654.8582. Thanks

Thank You For Your Order!


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