is an online catalog store owned & operated by Widerview Inc.

                 
For Fax Orders:              
Print out this order
form and fax it to  
our TOLL FREE FAX LINE
1-888-371-3434		      

For Mail Orders:              
Print out this order
form and mail it to
 
Mail Order Dept.
Widerview inc.
P.O. Box 136
Petaluma, CA 94953		      


Bill to Address:__________________________________________________
                    _______________________________________________________________________
                    _______________________________________________________________________

Ship to Address:__________________________________________________ 
  (If different)    _______________________________________________________________________  
                    _______________________________________________________________________


Contact Phone # __________________________Email:___________________________________________



I would like to order these items:

Item #		      Description		     Price	      Quantity	       Total

_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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                                                     Subtotal of order:_______________

   (Shipping charges, if any, are listed next to unit prices) Shipping:_______________ 
    
  (Please include 7.50% sales tax if items being shipped to Calif) Tax:_______________

                                                           Order Total:_______________ 

Payment Information

Method of payment (please check one)

Credit card:____Check or money order enclosed:_____(payable to Widerview Inc.)

Information below needed to process Credit Card orders:

Type of Credit Card:	Visa___Mastercard___Discover/Novus___American Express___ 

Credit Card Card Number: __________________________________

Valid from: ____Expiration date:_______

Name as it appears on credit card: ______________________________________________

Card holders phone: (please be sure to include area code) _______________________

Card Holders signature:__________________________________________________________   
                    
                    
                       Thank you for shopping at The Natural!

                           Widerview Inc. ~ Corporate Office
                                  P.O. Box 136, Petaluma, CA 94953	
			           Email: corp@widerview.com