Shipping Information	Vendor Information
PARENT Name:	VENDOR Name:	Wholy Living
Email:	Address1:	15091 Lazy Lady Lane
Mailing Address:	Address2:
City, State:	City, State:	Palmer, Alaska
Zip Code:	Zip Code:	99645
Phone Number:	Phone Number:	745-5639
Contact Teacher:	Fax:	746-5639
Date submitted:

Student Info for High School Courses & Calvert Only:	Birthdate:
Name (first & last):	Social Security #:

Qty	Item #	Description	Catalog Page #	Price	Total
		All Your Health Question Answered Naturally		30.00
		Amazing Wheat Book ($18) and/or Video ($30) Set		40.00
		Cooking & Baking with Fresh Ground Flour (New)		14.00
		Country Beans		18.00
		The Flax Cookbook		15.00
		Kid Smart		15.00
		Laurel's Kitchen Bread Book		25.00
		Margaret's Bread Class CD		10.00
		Nourishing Traditions (New)		25.00
		Whole Food Facts		20.00
		Three Book Set		20.00
		Super Breakfast Cereals		10.00
		Wonder Food Spelt		5.00
Subtotal:
Shipping* (20% added):