Please make sure all fields are correct before you press the print button below.

4aKiss.com - Order Form

Send Check or Money Order to the following address:

4akiss.com
PO Box 1631
Snyder, TX 79550
Put a x in the payment option you are going to send.
Check :

Money Order:

Shipping Address

Full Name:

Address:

City, State, Zip Code:

Phone Number : Email Address: 

QTYProduct DescriptionUnit PriceAmount

Please select a shipping date

Month Day

Please calculate shipping charges. View table below

ShippingTotal Purchased
$10.00$0.01 - $9.99
$20.00$10.00 - $49.00
FREE$50.00 OR MORE

Subtotal : Shipping : Total:

©2009 4akiss.com All rights reserved