Ways to order: (Check or Credit Card)
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VitaMotion-S™ Order Form |
Date: / / |
| Visa/MC/Discover/AE: / / / exp: / *Verification#: | |
| Name: Phone ( ) - | |
| Street: | |
| City: St: Zip: | |
| Special Instructions: | |
| To ship via your FedEx (note if you want next day or 2nd day etc) Acct #: | |
| Product | Cost | Qty | Amount |
| VitaMotion-S™ relief & Prevention of Motion Sickness | $19.95 | ||
| VitaMinophen™ Temporary relief of minor aches & pains | $19.95 | ||
| VitaSight™ Improve your Night Vision |
$19.95 |
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Sub-Totals |
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| Discounts 10% on 5 or more. 20% on 12 or more (each 12pack includes display box) | |||
| TAX for California addresses only 7.75% | |||
| Shipping see below | |||
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TOTAL |
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*Verification number is the 3 or 4 digit # on the back of your card (for more information click here)
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Shipping Information |
| $2.00 for 1 0r 2. 3 or more Shipping is free (via USPS Priority) |
| Express Mail $16.00 |
| Other, Including International Shipping, please contact our Office |
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