If you are sending CHECK, CASH or US POSTAL /INTERNATIONAL MONEY ORDER, just print this out (logo above will not be printed. Yes, it will be two pages). Make checks or US Postal/ International Money Orders out to Laughing Grape Enterprises. Send form and payment to the following business address: STTM; POB 322; Moab, UT. 84532

T-SHIRTS SHIPPING/HANDLING for one shirt (Yes, there’s a little handling to help me pay for gas, time, supplies, etc):

US:  5.00   CANADA: 6.00   INTERNATIONAL:  10.00

*Add 1.00 per extra t-shirt for all US amounts; 2.00 per extra t-shirt for Canada: 2.00 per extra t-shirt international.

BUMPER STICKER SHIPPING: (If you are ordering a t-shirt with bumper stickers, the t-shirt shipping will cover it all!)

US and CANADA: 2.99 S/H for up to four stickers. INTERNATIONAL: 4.99 for up to four stickers.

o**For additional stickers above four, add 50 cents per extra sticker.

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DATE:____________________________

HOW MANY T-SHIRTS?__________ SIZES: ___________________ (L, XL, XXL)

8.00 x ____ = ____________

Shipping: ____________ (Did you add extra 1.00 or 2.00 for extra t-shirts?)

TOTAL for t-shirts (cost of t-shirt plus shipping)_________________

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BUMPER STICKERS: 5.99 each, or buy a minimum of four or more for 5.00 each.

How many:
1) The TSH SAYS YOU ARE NORMAL? w/ laughing boy:________
2) MILLIONS on anti-depressants w/shishing woman: _________
3 BEWARE of THYROID PATIENTS on internet w/man:_________

SUBTOTAL for BUMPER STICKERS: _____________ (i.e. 5.99 times your number. Or if 4 or more, 5.00 times your number)

SHIPPING (see above):___________(check carefully. Can’t send them without proper shipping amount.)

TOTAL for BUMPER STICKERS (cost of bumper stickers plus shipping): _______________

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GRAND TOTAL (combination of t-shirt total and bumper sticker total):___________________

Method of payment enclosed:______________________(i.e. check or US postal money order; US bank or International MO)

Name: _________________________________________________

Mailing address: _________________________________________________

City, State, ZipCode: _____________________________________________

Country if not the US:________________________

Email (if I need to contact you about order. I do NOT give it to anyone else):_________________________________________

Phone number (if I need to contact you about order. I do NOT give it to anyone else:_________________________________

*Checks mean a 10 day waiting period; Postal money order means immediate shipping.

THANK YOU FOR YOUR ORDER. WE ALL NEED TO SPREAD THE WORD!

Important note: STTM is an information-only site based on what many patients worldwide have reported in their treatment and wisdom over the years. This is not to be taken as personal medical advice, nor to replace a relationship with your doctor. By reading this information-only website, you take full responsibility for what you choose to do with this website's information or outcomes. See the Disclaimer and Terms of Use.