Mail Order Form

Print this and then fill out. We suggest that you double check shipping charges, tax if applicable and total cost. New York State residents need to add 8.625% tax to their order after shipping charges. All information is confidential and not sold.

Your full name _____________________________________________________

Mailing address ___________________________________


Phone number ____________________________________

E-mail address _______________________________________

Referred by______________________________________________________________

ProductsQuantityUnit Price Total Price
Rush order additional $15 for continental USA orders only. 

For all orders inside the USA please add $5.95 shipping & handling 
New York State Sales Tax 8.625% if you live in NYS (including shipping charges)  
For all orders outside the USA please add $13.85 shipping & handling 
Grand total 

If you need more room for your order, you can continue it on another piece of paper.
Make all money orders out to:

Freedom Hill, LLC
PO Box 618
Bayport, NY 11705
We do not accept checks
If you have any questions please contact us