Snail Mail Order Form

The Keeper SNAIL MAIL ORDER FORM

This form can be printed, then mailed to us, or FAXed. Or, click here to choose a different ordering option.

NOTE: Foreign money orders must be drawn on a U.S. bank and in U.S. funds. We are not able to accept payments such as Canadian postal money orders or checks, for example. But we can accept "International Money Orders" which are drawn on a U.S. bank.

Print, then MAIL this completed form, along with a check, money order, or your credit card information, to:
The Keeper
P.O. Box 48594
Fort Worth, TX 76148
Or FAX this completed form to 817-337-1947.

020106

First Name
Last Name
Street Address
City, State, Zip:	,
Country
Phone
Fax
E-Mail
Payment Type Debit cards with a Visa or Mastercard logo are also accepted for your convenience.	Visa \| Mastercard \| Discover \| Amex Check/Money Order
Credit Card number	exp:
Street Address to which credit card bill is mailed
Please tell us how you found our website! (The name of the search engine, magazine, website, etc. would be great, if you know it.):
Comments:

Item Description:	Price:	Qty:
The Keeper Menstrual Cup, AFTER Vaginal Childbirth (Style A)	$35.00
The Keeper Menstrual Cup, BEFORE Vaginal Childbirth (Style B)	$35.00

A discount will automatically be given as follows:

Purchase 2 4-Packs Washable Pads and receive a Free Pads Carry Bag (a $14 Value)!
Purchase 2 Keepers and receive a FREE washable cloth pad!
Purchase 3 - 5 Keepers and receive FREE SHIPPING!
Purchase 6 or more Keepers and receive a 5% discount plus FREE SHIPPING!

(Whether your order is for style A's, style B's, or a combination, it does not matter.)

Panty Liners 4-Packs (Color)	$28.00
Panty Liners 4-Packs (Organic)	$32.00
Panty Liners 2-Packs (Color)	$16.00
Panty Liners 2-Packs (Organic)	$18.00
Panty Liners 1-Packs (Color)	$9.00
Panty Liners 1-Packs (Organic)	$10.00
MiniPad Color 4-Packs	$32.00
MiniPad Organic 4-Packs	$36.00
MiniPad Color 2-Packs	$18.00
MiniPad Organic 2-Packs	$20.00
MiniPad Color 1-Packs	$10.00
MiniPad Organic 1-Packs	$11.00
Maxi Pad Color 4-Packs	$36.00
Maxi Pad Organic 4-Packs	$40.00
Maxi Pad Color 2-Packs	$20.00
Maxi Pad Organic 2-Packs	$22.00
Maxi Pad Color 1-Packs	$11.00
Maxi Pad Organic 1-Packs	$12.00
Super/Overnight Color Pad 4-Packs	$40.00
Super/Overnight Organic Pad 4-Packs	$44.00
Super/Overnight Color Pad 2-Packs	$22.00
Super/Overnight Organic Pad 2-Packs	$24.00
Super/Overnight Color Pad 1-Packs	$12.00
Super/Overnight Organic Pad 1-Packs	$13.00

Color Assorted 4-Packs (Includes 1 Panty Liner, 1 Mini, 1 Maxi & 1 Super Overnight)	$34.00
Organic Assorted 4-Packs (Includes 1 Panty Liner, 1 Mini, 1 Maxi & 1 Super Overnight)	$38.00

Pad Carrying Case	$14.00

The Keeper Convenience Pack - A / Color (1 Panty Liner, 1 Mini, 1 Maxi, 1 Pads Carry Bag, 1 Keeper Style A)	$65.00
The Keeper Convenience Pack - A / Organic (1 Panty Liner, 1 Mini, 1 Maxi, 1 Pads Carry Bag, 1 Keeper Style A)	$68.00
The Keeper Convenience Pack - B / Color (1 Panty Liner, 1 Mini, 1 Maxi, 1 Pads Carry Bag, 1 Keeper Style B)	$65.00
The Keeper Convenience Pack - B / Organic (1 Panty Liner, 1 Mini, 1 Maxi, 1 Pads Carry Bag, 1 Keeper Style B)	$68.00
Sub-Total	---->
Sales Tax (8.25%, Texas Residents Only)	---->
Shipping & Handling	---->
TOTAL:	---->

Texas residents, please add 8.25% sales tax, before s&h.
Click here to view Shipping and Handling rates.
Please allow 5 to 10 business days (2 weeks) for delivery.
Inaccurate or missing information on the order form, could delay your order. If you have a question about your order, please call 1-888-467-8024 (toll-free within the U.S. and Canada) or call (817) 337-1887, or use our
Contact Form at http://www.TheKeeper.com/feedback/.

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The Keeper
P.O. Box 48594
Fort Worth, TX 76148

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