Name *

First Name

Last Name

Skip or Ship?

We will automatically resume shipping next month unless you fill out this form in response to our next installment announcement.

Ship me the October Box for arrival between 10/16-10/18

Ship my October Box to the NEW address below

SKIP OCTOBER - DO NOT SHIP UNTIL NOVEMBER

Ship to a different address!

ONLY FILL THIS OUT IF YOU WOULD LIKE TO SHIP TO A DIFFERENT ADDRESS THAN LAST MONTH. **NO PO BOXES, please!**

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Address change — once, or forever?

If you requested an address change above, do you want this new address to 'stick' for future shipments, or would you like to revert back to the original address after this month?

Just for this month

Keep this new address for the rest of the membership