Send this form in with a check or
credit card information to:
Excel Naturals, Inc.
741 E. Atlantic Blvd.
Pompano Beach, FL 33060
CALL: 877-490-3538 to order!
or FAX: 202-203-2199
SHIPPING ADDRESS:
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NAME
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ADDRESS
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CITY
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STATE/ZIPCODE
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CREDIT CARD #
CIRCLE: (VISA/MC/AM EXPRESS)
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NAME ON CREDIT CARD
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EXPIRATION DATE
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Quantity Total
___BOOK(s) w/ 2 bonus CD's @ $10.00 $________
___E-Book(s) @ $3.00 $________
___2 Audio CD PROGRAM @ $3.00 $________
___Wheat Grass @ $22.00 $________
___ Phosphatidylserine (PS) & Phosphatidylcholine (PC)
2 bottle combo--(NOW/Countrylife) $53 $________
___ Phosphatidylserine (PS) single 100 gel caps 100 mg $41 $ ______
___ Phosphatidylcholine (PC) single 100 gel caps 1200 mg $16 $______
___ Biometics -- 2 BOTTLES--> BIO-FUEL & BIO-ALERT@ $45 $________
(liquids- lasts 6 wks) great taste!
____ Matol Fantastic Weight Control & Easy Weight Loss! Total Eating Plan 1 month $300 $ ______
___ Km-Liquid 32 oz @ $35 -- The major tonic for pancreatic function. Balances blood Ph
& blood sugar. Unequaled for weight loss, etc. 1 for $35 $________
___ Km-Liquid Small 8 oz. travel bottle. 1 for $15 $________
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SHIPPING/HANDLING
USA Shipping -- Please add:
$4 - EACH 1ST PRODUCT $ _________
$2 - EACH ADDITIONAL PRODUCT $ _______
SHIPPING SUBTOTAL $ _______
PRODUCT SUBTOTAL $_______
TOTAL $_______