Mail Order Form
   
 



















If you would prefer to use a mail order form and send in a check or money order payment, you may use the form below.  Simply copy and mail the completed form to :
 
Want2care.com
42581 Mayhew Drive
Sterling Heights, MI  48314
Phone:  1-877-655-CARE

Name:
 
Phone:  
 
E-Mail Address
(we will not share your address with anyone.  It is simply for use to keep you informed about your order placement)
 
 
Mailing Address:
 
 
 
 
 
 
**YOU WILL NEED TO CALL US FOR SHIPPING COST OF PRODUCTS**
Items will ship once payment has cleared.  We will contact you by e-mail to keep you up to date.
Thank you.  If there are any questions, please do not hesitate to contact us.
 
 
 

Item #      Description                                            Quantity                Price Each               Total
 
___________________________________________________________________________
 
___________________________________________________________________________
 
___________________________________________________________________________
 
 
 
 
 
                                                                                    Subtotal:  ______________
 
                                                                                   Shipping cost- call us
                                                                                   1-877-655-CARE          _____________
 
                                  Michigan residents
                                                                 Add 6% sales tax:  ______________
 
                                                                                       Total:  ______________