DishDiet Order Form - Pay by Check

(For Credit Card Orders Online, Click Here)

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INSTRUCTIONS FOR PAYMENT BY CHECK OR MONEY ORDER:
      (If you're using Microsoft Internet Explorer Browser press the "Clear Cost Form" first!)
1. Fill out this form online. Be sure to press the "CALCULATE COST" button.
     (No information will be saved or transmitted over the internet.)
2. Print this page.
3. Mail a check or money order made payable to "DishDiet, Inc." and a copy of this form to:
          Order Processing
          DishDiet, Inc.
          PO Box 503
          Voorhees, NJ 08043


Dish Diet Order Form
Customer Information
Customer Name:     
Address:     
City:     
State:        (Shipments to continental U.S. only)
Zip Code:     
Telephone:     
E-mail:     
     
Order Calculator
Enter Quantity desired..then Click on "Calculate Results"

Note: Each personal set containes 5 plates, 4 bowls and 5 glasses.

Item 
Qty 
 
Sale Price 
Amount 
Dish Diet Individual Program and Dish Set
$49.99
$
Dish Diet Family Set
$139.99
$
Product Subtotal 
$
FREE Shipping and Handling: 
$
New Jersey - Add 7% tax
$
  Total:
$

Thank You For Your Order!

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Note: Orders by check take minimum 2 weeks to process. For faster service, Order Online by credit card.


DishDiet, Inc.
Copyright 2009. All rights reserved.