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Nature'sAlternatives.com • 15508 W. Bell Road, Suite 101-438 •
Surprise, Arizona 85374-2432
• Phone +1 (877) 877-0747 • Fax +1 (623) 321-9977
• E-Mail: questions (at) naturesalternatives.com
If you are ordering
by check, please ignore the credit card references.
For credit card orders, you must Agree to the
Terms
(Please Print)
See **Payment Method Below**
| Name (as it appears on the credit card) | ||
| Address Line 1 | ||
| Address Line 2 (optional) | ||
| City | State/Prov./Prefecture | Postal Code |
| Country (if not USA) | ||
| E-mail Address (needed for order confirmation) | Home
Phone ( ) |
Office
Phone ( ) |
| Credit Card Number with Security Code | Card (Visa, MC, Discover, Amex, Diners, Carte Blanche, JCB) | Expiration Date |
| Name of Recipient (if different, optional) | ||
| Shipping Address (if different, optional) | ||
| Shipping Address Line 2 (if different, optional) | ||
| City | State/Prov./Prefecture | Postal Code |
| Country (if not USA) | ||
For a compact, blank order form
CLICK HERE!
For a complete pre-printed order form CLICK HERE!
| Item | Description | Quantity | Unit Price | Subtotal |
| CSG | Colloidal Silver Generator | $59.95 | ||
| CSG2 | Colloidal Silver Generator 2-pack + 2 FREE Sets Silver Wire | $119.90 | ||
| CSG5 | Colloidal Silver Generator 5-pack + 5 FREE Sets Silver Wire | $275.00 | ||
| SSW | 2 Replacement Electrodes (14 gauge, 4 inch long each) | $15.00 | ||
| LSW | 2 Replacement Electrodes (14 gauge, 6 inch long each) | $18.00 | ||
| BRC1 | 2 Boston Round Glass Amber Bottles (8oz.) w/ 2 Caps | $10.00 | ||
| BRC2 | Set of BRC1 + 1 Spray Nozzle | $10.00 | ||
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Coupon#_____________ ( -$) |
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USA SHIPPING FEE($) |
$6.00 | ||
| Comments:
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TOTAL: | |||
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Shipping and Handling |
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USA |
International Shipping will be determined by Weight and Country at time of shipment. Please e-mail for final shipping charges. |
Thank you
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**PAYMENT METHOD**
Payment will only be accepted as a US Postal Money Order.
International orders payable in US Funds ONLY as an International Postal Money Order from your Post Office.
I have read and agree to the following terms:
- I understand that Nature'sAlternatives.com will be the name listed on my credit card statement.
- International Orders will be charged the cost of shipping in addition to the product cost.