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Product Order Form
Print this Form and Fax or Mail to:
Healthier Life, LP
19141 Stone Oak Pkwy., Ste. 104
San Antonio, Texas 78258
Customer Information:
Name:
Address:
Address:
City:
State, Zip:
Country:
Phone:
Email:
Your representative is: Linda Morris

Fax Orders:
 1-800-997-8987 or +210-481-5662

Telephone:
1-877-352-8042 or +306-352-8042  

 

Shipping Information:
Name:
Address:
City:
State, Zip:
Country:
Mix or Match with our Buy 3 or more Discount:
Qty. Prod.
No.		 Description Sug.
Retail		 Price ea. when you buy 1-2
 Price ea. when you buy 3 + TOTAL
  3200 Flavay™
 $59.95 $48.75 $44.50  
  3300 Flavay Plus™
 $99.95 $78.00 $69.50  
SHIPPING PRICE CHART
U.S.: Orders of $100
or more		  . . . . . . .  FREE
U.S.: Priority Mail: . . . . . . . $6.50
U.S.: Express Mail: . . . . . . $23.50
CANADA: Priority Mail . . . . . . $17.50
CANADA: Express Mail: . . . . . . $25.00
INTERNATIONAL: Priority Mail . . . . . . $25.00
INTERNATIONAL: Express Mail . . . . . . $33.00
SUBTOTAL  
SHIPPING: See Price Chart.  
NOTE: International customers may be subject to customs fees and import duties. See customs information for more details.  
TOTAL  
Method of Payment: Visa MasterCard Discover American Express
Check or Money Order* /Visa /MasterCard /Discover /American Express
*Please make check or money order payable to: HEALTHIER LIFE LP.
Credit Card No. :
Expiration Date :
Name on Card:
Card Holder's Signature :
AutoShip: Select below to Join AutoShip and receive: (1) lower member pricing on your re-order and (2) convenient monthly or bi-monthly delivery:
MonthlyBi-Monthly1 (Jan-Mar-May-Jul-Sep-Nov)Bi-Monthly2 (Feb-Apr-Jun-Aug-Oct-Dec)
© Healthier Life, LP [Linda M.] Effective Date: May 1, 2007