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Online Spring Water Supreme |
Order by Mail:
Print this form, fill it out, and mail it along with a check or money order to the address below:
Name____________________________________________________________________________
Address__________________________________________________________________________
City___________________________________________ State_________ Zip_______________
Phone #________________________________ Evening # _______________________________
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Item |
Price |
Subtotal |
|
Product #21231: 1 Bottle (16.9 oz.) of Spring Water Supreme. |
$ 39.95 |
$ |
|
Product #21232: 2 Bottles of Spring Water Supreme. |
$ 74.95 |
$ |
|
Product #21233: 3 Bottles of Spring Water Supreme. |
$ 99.95 |
$ |
|
Add USPS Overnight Express Mail on any of the above. |
$ 15.00 |
$ |
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Add Global Express shipping and handling to Canada. |
$ 25.00 |
$ |
|
Add Global Express shipping and handling to all other International destinations. |
$ 35.00 |
$ |
|
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. |
. |
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. |
TOTAL |
$ |
Orders received with a Postal Money Order are shipped the same day. Personal checks might take as long as five days to process. Mail to:
21st Century Health
100 Glen Street #2326
Glen Cove, NY 11542
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