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FULL-SIZE PRODUCTS ORDER FORM
Please Print Out This Form
QTY PRODUCT NAME PRICE EACH TOTAL
___ THERMO-LIFT™ $29.95 _____
___ THERMO-LIFT II™ $29.95 _____
___ GOOD-NITE $29.95 _____
___ CHANGES RELIEF™ $29.95 _____
___ BRIGHTEN UP™ $29.95 _____
___ BEST FRIENDS™ $29.95 _____
___ MILAGRO™ (Men's Formula) $29.95 _____
___ MILAGRO™ (Women's Formula) $29.95 _____
___ CHANGES NOW!™ $29.95 _____
___ FOUR-IN-ONE™ $29.95 _____
___ THREE-IN-ONE™ $29.95 _____
___ POWER NUTRIENT™ $29.95 _____
___ ULTRA POWER NUTRIENT™ $29.95 _____
___ POWER NUTRIENT PLUS™ $29.95 _____
___ SHARP THINKING™ $29.95 _____
___ SOY DEFENSE™ $29.95 _____
___ TIME FIGHTERS(WOMEN)™ $29.95 _____
___ TIME FIGHTERS(MEN)™ $29.95 _____
___ TIME FIGHTERS(IRON-FREE)™ $29.95 _____
___ OPTI-ZYME™ $29.95 _____
___ PERFOR-MAX™ $29.95 _____
___ COLLOIDAL SILVER $29.95 _____
___ 6 Compartment Pill Box $2.00 _____
Name: ______________________________
Address: ______________________________
City: ______________________________
State: _________ Zip Code: __________
E-Mail: ______________________________
Shipping _______
Coupons - _______
Total Due _______

S/H
1 Bottle=$3
Add $1 For Each Additional Bottle
SEND TO:
Do You Wanna Free Sample
161 Dix Ave
Marion, OH 43302-3160
Phone: 740-382-5134
GET $5 OFF
You Will Receive a
Coupon for $5 Off
Any Full Size Purchase
With Each Sample Request
GET FREE PRODUCTS
Sponsor ID#: 209834
Email For Details
jmccall@email.com
Or Call 740-382-5134

To Learn More About Any Of These Products: CLICK HERE

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