| Instructions: ($25.00 Minimum on all orders) |
| 1. Complete all sections - Your e-mail address will allow me to contact you for any additonal info I may need. |
| 2. Special Information - For spells I need your full name and birthdate. For Tarot readings, I need you to hand write your question on a piece of paper and include it with your order. For gris-gris bags, please include the team name, sport, and colors if they are not a well-known team. |
| 3. Send Check or Money Order to Mo'betta Voodoo, 7834 - 336th Ave., Burlington, WI 53105-8815 |
Ship To:
Name:____________________________________________
Address:______________________________________________________________________________
City:_____________________________________ State/Province____________________
Zip________________ E-Mail_______________________________ this is important, I may need to contact you for more info!
Country______________________ Telephone: (_______)_______________________________
Qty |
What you want |
Any special information | Price Each |
Total |
| _____ | ___________________________________ | _________________________________ | $_______ | $__________ |
| _____ | ___________________________________ | _________________________________ | $_______ | $__________ |
| _____ | ___________________________________ | _________________________________ | $_______ | $__________ |
| _____ | ___________________________________ | _________________________________ | $_______ | $__________ |
| _____ | ___________________________________ | _________________________________ | $_______ | $__________ |
| _____ | ___________________________________ | _________________________________ | $_______ | $__________ |
| _____ | ___________________________________ | _________________________________ | $_______ | $__________ |
| _____ | ___________________________________ | _________________________________ | $_______ | $__________ |
| _____ | ___________________________________ | _________________________________ | $_______ | $__________ |
| _____ | ___________________________________ | _________________________________ | $_______ | $__________ |
| Subtotal | $__________ | |||
| $__________ | ||||
| Total | $__________ |
Shipping and Handling is included in U.S. Outside of U.S., please e-mail for charges
ALL ORDERS $100 AND UP RECEIVE A FREE GIFT!