| FUMA NATURAL Mail Order Form (You can complete the form and print out) |
| Please make checks or money orders payable to: Fuma Natural |
| Mail this form with your payments to: Fuma Natural 12881 Knott Ave., Suite 113 Garden Grove, CA 92841 |
| California residents, please add 7.75% sale tax. |
| Thank you for your order. Please print out this form and mail with your payments. |