Country Health Store
Mail Order
Print and mail to:
Advanced Marketing, 2050 Beavercreek
Rd., #310, Oregon City, OR 97045
Paid
to:
Advanced Marketing
| Full Name: | |||
| Street address: | |||
| City, State, Zip: Phone: | |||
| E-mail: for Delivery confirmation | |||
| Order Form: | Retail: | Quantity: | |
| Xyng - ( 1 Box - 30 day supply ) | $35.00 | ______ | |
| Xyng - ( 2 Boxes - 30 day supply each ) | $70.00 | ______ | |
| Xyng - ( 4 Boxes - 30 day supply each ) | $135.00 | ______ | |
| Global Blend Crystals - One Box - "XypStix" | $35.00 | ______ | |
| Cheat - ( 60 Grams ) | $42.00 | ______ | |
| Accelerate - (60 count) | $30.00 | ______ | |
| Flush - (60 count) | $35.00 | ______ | |
| Lean - (14 servings) | $37.00 | ______ | |
|
Add your order Total > > > > > > |
Total: | ______ | |
|
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| Comments: __ | |||
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Payment to: Advanced Marketing |
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AdrianMathews.com: (503) 353-8968 - WayCoolDiet.com or CountryHealthStore.com
www.XyngSavings.com ( We take Pay Pal for Online Orders :)