WEIGHT LOSS VARIETY |
8344 Grand Trevi Drive * Louisville, Kentucky 40228 |
Email: support@weightlossvariety.com |
| Look for SALE items | It's Easy to Order! print this form |
| METHOD OF PAYMENT | FAX YOUR ORDER | MAIL YOUR ORDER |
| We are accepting credit cards, money orders & checks. Please allow 5 - 10 business days for checks to clear before shipping | Fax this form
to: 1-502-384-3150 http://www.weightlossvariety.com |
Fill out this
form and mail it to the address above. |
| SHIP TO (no PO addresses) | *** INDICATES A SALE *** see bottom of form | |||||
| Name | ITEM NO. | QTY. | ITEM NAME | PRICE | TOTAL | |
| Physical Address (line 1) Shipping Address (line 2) |
500 | SLEEP N SLIM *** | $39.95 | |||
| 500 | COMPLETE - 7 MULIT-VITAMIN *** | $29.95 | ||||
| City, State or Prov. | 600 | EURO-FIRM TONING GEL *** | $29.95 | |||
| 835 | JOINT-EZE | $19.95 | ||||
| Zip Code | 1000 | EURO-TOX Face-Lifting Serum 1 oz. | $45.00 | |||
| Country | 1100 | EURO-LIFT KITincludes activator,powder,brush |
$39.95 | |||
| Phone-UPS requires or we can not ship order | 1110 | EURO-LIFT ACTIVATOR 4 oz. | $25.95 | |||
| Email Address | 1120 | EURO-LIFT POWDER 2 oz jar - no brush | $20.95 | |||
| INDICATE METHOD OF PAYMENT | 2000 | SUN-SATIONAL SELF TANNING KIT*** | $24.95 | |||
| Check Amount | 2100 | SUN-SATIONAL SELF TANNING LOTION 6 oz bottle *** | $13.95 | |||
| Money Order Amount | 2200 | SUN-SATIONAL SELF TANNING SPRITZ- 6 oz bottle *** | $16.95 | |||
| Type Of Credit Card | ***PRODUCT SALES*** - while they last |
|||||
| Name On Card | 700-500 | Purchase 2 bottles of Sleep-N-Slim and get $10.00 off of Complete 7 Mulit Vitamins | $99.85 | |||
| 3 Digit Code on Back Card | 600 | Euro-Firming Gel - Save $10.00 | $19.95 | |||
Number Expiration Date |
200 | Blemish Creme reg. $13.00 1/2 off | $6.50 | |||
Signature |
205 | Cold Sore Creme reg. $8.80 1/2 off | $4.40 | |||
Please leave any comments in this box:
If orders exceeds $199.99 email us for correct shipping quote PRINT ORDER FORM & MAIL |
210 | Eczema Creme reg. $13.00 1/2 off | $6.50 | |||
| 215 | Psoriasis Creme reg. $13.00 1/2 off | $6.50 | ||||
| 2000 | Sun-Sational Self-Tanning Kit | $18.00 | ||||
| 2100 | Sun-Sational Self-Tanning Lotion | $9.00 | ||||
| 2200 | Sun-Sational Self-Tanning Spritz | $12.00 | ||||
| 300-305 | Buy 1 shampoo - Get 1 FREE conditioner - a savings of $5.50 | $5.50 | ||||
SHIPPING INFORMATION |
SUBTOTAL | |||||
| Add Postage & Handling To All Orders | Kentucky Residence Only - Sales Tax - 6% | |||||
| .01 - $24.99 ADD $8.95 | $79.01 - $99.99 ADD $19.95 | SHIPPING & HANLDING | ||||
| $25.00 - $79.00 ADD $9.95 | $100.00 - 199.99 ADD $19.95 | TOTAL COST | ||||