About Manchurian Mushroom Tea

Request a Kombucha (Manchurian Mushroom Tea) Starter

Please print complete and post to: Mr. H Wicks, 237 Turners Hill Hemel Hempstead Herts. HP2 4LW UK.

Telephone: 01442-268181 Mobile: +447941289760 /07952858699 email: hw_renewe@yahoo.co.uk

Skype ID: hw_skype or hw_skype2

Delivery Address & Contact Details

Name: ...............................................................................................................

Address1:...........................................................................................................
Address2:...........................................................................................................
Address3:...........................................................................................................
Address4................................................... Country: ........................................
Postcode:....................................................

The following will only be used for making contact if there is a hitch; This information will not be divulged to others.

Telephone1:...........................................Telephone2:......................................
Email:'..............................................................................................................

Please send a minimum of £5/- or €7/- towards the cost of carriage handling packing and postage.

For the EU and other parts of the world please contact me first for confirmation.

There is no charge for the starter mushroom.

You are welcome to contribute more if you can afford to do so comfortably. It will help to sustain the effort. Thanks

Please let me have a starter Manchurian Mushroom.

I enclose a cheque/postal order/ .............. for:£ ............/..........  € .........../...........made payable to H Wicks

Having got your Bank details (Account Name, Number & Sort Code) I have made an online, bank to bank transfer

of  £ ................./.........  €................./........  today /  on: ...........day../............/............/...........(weekday/dd/mm/yyyy)

Signature:..................................................Date:.................................................Place:..................................................





Renewed: 2006-01-09 Last changed: 20/08/07 Last Viewed: Sun 26 Aug 07 22:52:26