Sold By: ______________________________________ Date: ________________________

 

Ship To:	Name:________________________________________
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Item	Product Description	Wholesale Unit Price	Qty	Total Price
Immune System Products
50020	Beta Gold (tm) - 1 bottle 60 Capsules (100 mg each)	$ 26.95
50030	Beta Gold (tm) - 1 bottle 60 Capsules (500 mg each)	$ 69.95
50060	The Immune Inducer (tm) - 1 bottle 90 capsules (100 mg each)	$ 39.95
50070	Varicella Zoster Immune Inducer (tm) - 30 capsules (100 mg each)	$ 79.95
50050	MSM (Adaptin) - 1 bottle 180 capsules (1000 mg each)	$ 39.95
50040	Formula III (tm) Lotion - 1 bottle 8 oz.	$ 39.95
Totals:

 

No refunds or exchanges on sales aids. All prices subject to change without notice. * Shipping and handling charge will be 5% of the order subtotal (min. $2.95). Shipping for any PRODUCT orders exceeeding $500. will incur a flat fee of $10. ** New York residents add 8% sales tax to subtotal and S&H charge. Overnight Shipping & Handling quotes must be called in to the corporate office before placing the order. All order that do not follow this procedure will be shipped by standard US Mail ground. *NOTE: As a Independent Representative, one bottle per month must be purchased to remain a qualified IR. Any changes made to Autoships MUST BE RECEIVED no late than the 10th of the month. [ X ] I would like to have the above order charged to my Credit Card each month on Autoship, eliminating the need to place the order each month.	Subtotal	$
	Shipping & Handling *	$
	Sales Tax .**	$
	TOTALS	$

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*For Faster Service, Please Fax All Credit Card Orders 24 hours a day to 1.888.957.0351
To Order By Mail Or Submit IR Applications:
Linwood Commons, Suite C-4, 1206 New Road, Linwood, New Jersey 08221,
Toll Free: 1.800.727.0509 Telephone: 1.609.601.2344 Fax: 1.609.601.2341
Rev.2/4/99