Salonweb.com's Weight Loss Solutions
Printable Order Form for Mail Order
(Go to "File" and "Print")
or Order Online
Please print clearly. Fields marked with an asterisk (*) are required to process
this order.
Use the BACK button on your browser to return to the previous
page.
| Customer
Name: |
| Address: |
| |
| Day
Phone: | Eve.
Phone: | Fax: | E-mail: |
|
| Qty | Item | Description | Price | Total |
| | | Xenadrine
RFA + The Trapper Combo | $33.98 | |
| | | Xenadrine
EFX + The Trapper Combo | $33.98 | |
| | | Metabolic
Energy & Diet - Two bottles | $22.99 | |
| | | Metabolic
Energy & Diet - One bottle | $16.99 | |
| | | NOREXIN | $12.99 | |
| | | Xenadrine
RFA | $24.99 | |
| | | Xenadrine
EFX (Ephedrine free) | $24.99 | |
| | | The
Trapper with Chitosan | $17.99 | |
| | | Super
Fat Burner w/ Super Citrimax | $14.99 | |
| SUBTOTAL: | |
SALES
TAX: (8.25% in
TN) | |
| SHIPPING
(USA ONLY): | $6.00 |
| TOTAL
AMOUNT: | $ |
| PAYMENT INFORMATION |
| PAYMENT
TYPE:* (Please select one.) No Cash or C.O.D. accepted. Check/money order
payments accepted with postal mail orders ONLY. |
|
|
| **
Make checks payable to: Sunset Marketing (checks must be in US dollars ONLY)
CREDIT CARD PAYMENT INFORMATION: |
| TYPE
OF CARD:* |
| |
| CARD
NUMBER:* (Must be 16 digits) | EXP.
DATE* | |
|
| | | |
| | | |
| | | |
| | | | |
| CARDHOLDER'S
NAME AS IT APPEARS ON THE CARD:* |
|
|
| CARDHOLDER'S
SIGNATURE:* (Orders can not be processed without signature) |
| |
Mail
your order / check payable to:
Sunset
Marketing
574 Green Tree Cv
Suite 202-C
Collierville,
TN 38017
888-849-8686
(toll free ordering ~ 9-5 Central Time ~ Mon.-Fri.)
You
may also fax this to 901-850-0725 (if paying with Credit Card)