PeniStretcher Order Form

Logo_Wenck.jpg (6821 Byte)

WEME, INC.

WEME, INC.
391 NW 179th Avenue
Aloha, Oregon 97006 (USA)
Phone: +1-503-430-1748
Fax: +1-503-430-1753

I will receive my order with a 24 month international guarantee in a neutral package, together with instructions for use (unit price $ 159.00 plus $ 15.00 postage). I can return the PeniStretcher within 14 days in the original, sealed packaging, without being required to state reasons, and I will receive a refund for $ 150.00. For hygienic reasons, it is not possible to accept any return once the original packaging has been opened.

Please enter the following order information:

Quantity	Description
	PeniStretcher unit price $ 159.00 plus $ 15.00 postage
Mode of payment
Credit card:
Name of card holder:
Card number:	Please enter without spaces!
Expiry date:	Month/Year
Card Verification Number:	(The last 3 numbers on the backside of your credit card)
Recipient address
Name, first name:
Street no.:
Zip code:
Town:
State:
Country:
Email (if applicable):
!!! Boxes marked red must be filled in !!!