The Health Nuts Order Form
1501 EW. Centre St., Suite 209
Rapid City, S.D. 57703
AAAAB.COM #3333 Independent Distributor
888-383-4056

For a Secure Order Form: CLICK HERE

Customer Details
Yes
No		 Do you want information to earn income distributing these products?
Yes
No		 Is this your first order from The health nuts?
NAME
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email:

Name on Card:
International credit card purchases are accepted
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Super Specials
Stock #: Product Name: Unit Price: Qty Ordered: Total Price:
9804 270 count Ultimate Enzymes w/veggie caps $50.00 $
9803 270 count Ultimate Enzymes $45.00 $
9707 60 count Ultimate Anti-Oxidant $50.00 $
9974 120 count Ultimate Joint & Muscle Ease $50.00 $

Regular Products:
Stock #: Product Name: Unit Price: Qty Ordered: Total Price:
9805 Ultimate Aloe (90 caps.) $40.00 $
9806 Ultimate Aloe Juice 10X (1 qt) $45.00 $
9704 Ultimate Cleanse (60 caps.) $30.00 $
9707 Ultimate Anti-Oxidant (60 ct.) $50.00 $
9703 Ultimate Glucosamine (90 caps.) $20.00 $
40 MSM Lotion (8 oz.) $16.00 $
Enter Cost of all Products here $

Shipping
Destination Shipping Rates
United States
$7.50 via UPS Ground.
$
All other Countries
EMAIL for shipping rates. 		Please state what products and quantities you would like. We ship by Air or UPS for large orders. Or just trust us. We charge actual shipping rates. $
South Dakota Residents
Add 6% SALES TAX
 $
Enter Shipping Cost $
Total (Shipping + Product) $

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Thank You for your order!


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