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This form may be used to pay money owed to us for any reason. If you want to send us $5.00 then type << 5 >> in the QTY box. For $10.00 then type in 10. To pay us $20 type in 20 in the QTY box and on. Click and complete the sales information. In the section on the next page you can make any comments. You will be sent a email sales receipt from us and a credit charge receipt. Thank you, Ed Kasper eddy@HappyHerbalist.com