1. Order Information
 

* Please Click Inside of the "Check Box" Next to the Item Letter in Order to Select the Product and complete the rest of the information. This form may be submitted via e-mail, just press the submit button on bottom of the form. 

*If you prefer to fax us the order, just print this order form and fax us.  We will confirm your order by e-mail and then you can send out your payment. We will process your order as soon as possible. If you have any questions, use your e-mail to inquire.

Best buys are highlighted in red
(*** extra savings)
 

* ITEM	PRODUCT DESCRIPTION	QTY.	WEIGHT	COST PER ITEM	TOTAL COST
A	Lab-Well's Lab-Flex MAX DS (new, 4 month's supply, 120 capsules)		.5 lb	$25.00
B	Lab-Well's Lab-Flex MAX DS (new, 8 month's supply, 240 capsules)		1 lb	$47.00***
C
D
E
F	Lab-Well's Lab Glo Rice Bran (100% natural)		1lb.	$8.00
G	Lab-Well's Lab Glo Rice Bran (100% natural)		3lbs.	$20.00
H	Lab-Well's Lab Glo Rice Bran (100% natural)		6lbs.	$35.00***
I	Lab-Well's Lab Forte (multi vit,garlic,yeast)		1lb.	$8.00
J	Lab-Well's Lab Forte (multi vit,garlic,yeast)		3lbs.	$20.00
K	Lab-Well's Lab Forte (multi vit,garlic,yeast)		6lbs.	$35.00***
L
	In order to shorten the shipping time, we ship out Priority Mail US Post.			Total Product Cost:
	Fill out your order and we will confirm back to you and give you the total with the postage.			POSTAGE
	Below are some examples of shipping charges
				Florida Residents: Your Local Sales Tax Rate:
				Sales Tax:
				TOTAL REMITTANCE:

Examples of Postage Charges

weight up to: 1 lb	$4.00
weight up to: 2 lbs	$6.00
weight up to: 3 lbs	$7.00
weight up to: 4 lbs	$8.00
weight up to: 5 lbs	$10.00
weight up to: 6 lbs	$12.00
weight up to: 7 lbs	$13.00
weight up to: 8 lbs	$14.00
weight up to: 9 lbs	$16.00
weight up to: 10 lbs	$17.50
weight up to: 11 lbs	$19.25
weight up to: 12 lbs	$21.00
weight up to: 13 lbs	$22.75
weight up to: 14 lbs	$24.50
weight up to: 15 lbs	$26.25
weight up to: 16 lbs	$28.00
weight up to: 17 lbs	$29.75
weight up to: 18 lbs	$31.50
weight up to: 19 lbs	$33.25
weight up to: 20 lbs	$35.00
for orders over 20 lbs., submit your order and we will confirm the shipping charges via email

All orders will be confirmed via email with correct postage charge.           

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First Name: Last Name:

Mailing Address:

City: State: Zip Code:

Daytime Telephone: Evening Telephone: