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PRODUCT ORDER FORM AND PRICE LIST
P.O. Box 3749,
Batesville, Arkansas 72503
Telephone Orders: 800-200-1203 or 949-498-3490
Fax Orders: 800-959-2777 or 870-698-2379
Regular Business Hours: 8:00 am to 10:00 pm Central Time.
Orders May Be Placed Electronically 24 hours, 7 Days a Week.

Effective Date September 1, 1999

INSTRUCTIONS

Select the items you desire to order from the following pages of products. List them on this page, including quantity, item numbers and other pertinent information. Total the shipping weights and charges (shipping rates are listed in the box below). Then, add your local sales tax and total the amount of your order. Tear this front page along the dotted line at the left and mail or fax this front page only.ling fluent

LIST ITEMS TO ORDER HERE
Qty. Product
Number
Item Package
Size
Shipping
Weight
(OZ)
Commission
Value
(CV)
Price
Each
Total
Amount

1950

Proanthenols HP with 100 mg Masquelier''s® OPC

60

4

40

US $45.50

7

1950

Or, Buy 6 get the 7th bottle FREE!

7x60

28

240

US $273.00 (save $45.50)

PAYMENT METHOD PHONE CHECK MONEY ORDER
PERSONAL CHECK CASHIER CHECK
CREDIT CARD

CREDIT CARD NUMBER

EXPIRATION
MC AMEX
VISA DISCOVER
________________________________
CARDHOLDER''S SIGNATURE

UPS Shipping Charges

1 THRU 5 LBS.
(Continental U.S. Only)

WEIGHT AMOUNT
1 lb. (16oz.)......$5.25
2 lbs. (32oz.).....$6.00
3 lbs. (48oz.).....$6.50
4 lbs. (64oz.).....$7.00
5 lbs. (80oz.).....$7.50
Over 5 lbs. Call Home Office
ASAP Members receive substantial discounts off listed shipping rates.
Click here for ASAP details...

SUBTOTAL $
SHIPPING $
SALES TAX
(For Your Area)
$
GST - 7%
(Canadian Orders Only)
$
TOTAL $
ASAP Members receive an additional
discount off listed shipping rates.
Click here for ASAP details...

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