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Lifesucker.com

ORDER FORM 

Quantity of Life Suckers™ ($7.99 each) . . . . . . . . . Total

For an adult smoker  --------------------> x $7.99

For a teen smoker-----------------------> x $7.99

For an overeater-------------------------> x $7.99

For a stressed someone------------------> x $7.99

The Suckcess Method Booklet for Smokers-> x $5.00

Preflavored KissStick ($7.99)

      Anise (Black Licorice)---------> x $7.99

      Peppermint--------------------> x $7.99

      Spearmint----------------------> x $7.99

Life Sucker™ Plastic Holder---------------->  x $3.00

Lorann Oils™ and Eyedropper--------------> x $3.00

     Indicate Quantity of Flavors Here    

    Anise
    Banana Cream
    Bubblegum
    Creme de Menthe
    Orange
    Peppermint
    Root Beer
    Pina Colada
    Spearmint
    Water Melon

    Each Life Sucker™ comes in a plastic bag, but most prefer our holders as a convenient way to carry one Life Sucker™ and one bottle of Lorann Oil™.

Add $2.00 for shipping and handling of initial order of a Life Sucker™ and a Lorann™ oil. Add 50 cents for each additional oil or Life Sucker™.

   Order Total

+ Tax (Colorado only. Multiply .073 x order total.)

+ Shipping
--------------------
   Grand Total

For schools and smoking cessation programs, a significant price-break is given for orders of 100 or more Life Suckers™.

If you are 14 or older and would like to become a Suckcessful Sucker Salesperson by selling Life Suckers™ over the web, please e-mail us.

For every 12 suckers sold, one Life Sucker™ is donated by Life Suckcess and one bottle of oil is donated by Lorann Oils™ to Denver Health and Hospitals for their Teenage Smoking Cessation Program.

SHIPPING INFORMATION

Name            

Address        

City/State/Zip

Tel Number   

E-mail address

THANKS!

Send Copy of Completed Order With Check or Money Order To:

 

Life Suckcess, LLC

1945 Locust St.

Denver, CO 80220