Address;____________________________________________

City__________________Pov._________________________
Postal Code/Zip_____________________________________

Warning:  The Vision of Hope cannot guarrantee any delivery outside of Canada!
You MUST sign the disclaimer or we may not fill you order.  Its to protect the ill and those who choose to help those in need.

I have read and understand the disclaimer.  My signature _____________________
is my assurance that I am equally responsible for the actions I am undertaking and have waived any preferential laws that may have previously protected me.

Disclaimer-
I will not send, ship, or deliver any product to any who would impede the goodness and self-help- healing I am undertaking and offering to those ill that ask.  Any associates acting on behalf of the Mission of Life/Vision of Hope cannot be held legally accountable for any product ordered, in our possession, and or other, if the procurer is a Fraud.
Those that procure any product with the intent to legally harm our organization does so knowing he/she loses any protection the law may have otherwise afforded, thus making ALL who participate against us fraudulently an equal accessory to the fact.
--  We are all guilty or we are Equally innocent...Anything in-between is prejudice  --

Vision of Hope
co Mission of Life
278 Toronto Street.  Suite  'A'
Winnipeg, Manitoba
R3G 1S2