orderform The Health Nuts

1501 E. Centre St. #209
Rapid City, SD 57703-3004
 		 THE HEALTH NUTS
HN ORDER TYPE:
NEW PLAN ORDER
STANDING ORDER
ONE TIME ORDER
605-341-4056 Office
605-341-4192 Fax
1-888-383-4056
 
Stock No. Product Description Qty Retail Price Dist Price total
9805 Ultimate Aloe Capsules (90Caps) $60 $40
9704 Ultimate Cleanse (60Caps) $40 $30
9708 Ultimate Anti-Oxidant
(30 ct)		 $40 $30
9707 Ultimate Anti-Oxidant
(60 ct)		 $70 $50
9706 Ultimate Enzymes (90 Caps) $40 $30
9803 Ultimate Enzymes (270 Caps) $65 $45
9703 Ultimate Glucosamine
(90 Caps)		 $30 $20
9705 Ultimate Sterols
(90Caps)		 $40 $30
9974 Ultimate MSM
(250 ct)		 $65 $45
ORDER TOTAL

VOLUME DISCOUNT - 5% FOR EACH $200.00 ORDER

VOLUME DISCOUNT -10% FOR EACH $300.00 ORDER
AND FREE SHIPPING AND HANDLING
Payment Method
Charge Card
Visa Mastercard Discover AMEX
Call For Credit Card Number
Credit Card No.
Expiration date
Name on card
Bank Draft
Bank Name
Bank Address
9 digit routing #
Account #
Fraction code
Product Total:
Tax (6% SD Res only):
Shipping/Handling
USPS UPS
Grand Total
Shipping Methods:
Priority
First Class
UPS
Fed Ex
UPS
Hand Delivery

Prices will vary!
Shipping Best Way
$30 -$150 = $4.50
$150 - $299 = 3%
$300 & above = N/C

Overnight & special deliveries are per quote!
* Sponsor Name: Dee Patrick * Sponsor ID #: #475
SHIP TO:
* Name
* Address
* City
* State
* Zip
* Telephone
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* Must be Filled out completely to order.
The Health Nuts
1501 E. Centre Street #209
Rapid City, SD 57703-3007

1(605) 341-4056 Office
1-888-383-4056 Toll Free
1(605) 341-4192 Fax
Mail Us