Ship To: (if different than "Sold To")

Method Of Payment:(Foreign Orders is U.S. Funds Only )
For Alaska, Hawaii, and Foreign orders please call for shipping charges

We accept AMERICAN EXPRESS,VISA, MASTERCARD, DISCOVER, CHECK or MONEY ORDER

Please include credit card # and expiration date with charge orders :

_________/__________/__________/___________

Expiration Date:__________/____________

Signature_____________________________________

Mail To: JustFreud.com P.O. Box 421821 Atlanta, GA 30342

Fax To: JustFreud.com (770) 458-2286

For Office Use:
ORDER #
Date Shipped