Please complete the order form below. Fax, e-mail or
to the address below. If you have any questions, just click on the
mail envelope, and send us your comments.
First, last and middle name:
Organization or company (if any):
Address, state, zip and country:
Country or zip
Social security number or driver licence:
Item number or description:
Credit card number and experation date:
U.S. Dollar amount. Please add $12.00 handling plus
fees a listed in each shop)
MONEY ORDER AMOUNT
P.O. BOX 202
CHICAGO, IL 60690-0202
PHONE: 1 708-344-9021
FAX: 1 708-344-9021
Please e-mail your order or comments to: MAIL
TO: ABLE HOME AIDES.
RETURN TO THE MALL.