|
www.MyVits.com
Fax Order Form - Toll Free 866 771 8487 (VITS)
Billing and Shipping Information
|
Bill To: |
______________________ |
Ship To: |
______________________ |
|
|
______________________ |
|
______________________ |
|
|
______________________ |
|
______________________ |
|
|
______________________ |
|
______________________ |
|
Bill Phone: |
______________________ |
Ship Phone: |
______________________ |
|
Fax: |
______________________ |
E-mail Address: |
______________________ | Credit Card
Information
|
Name on card: |
____________________________ |
|
Card Type: |
_____________________ |
(We accept Visa, MasterCard, AMEX, Discover) |
|
Card Number: |
____________________________ |
Exp. Date: ___________ |
Please place your order carefully. We are unable to
accept returns.
|
Product Name |
Size |
Qty |
Unit Price |
Ext. Price |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Subtotal: _________ 15% Discount (if applicable):
_________ Discounted Subtotal: _________ Add 8.25% Sales Tax (CA
Residents ONLY): _________ Shipping & Handling: _________
TOTAL COST: ________
Selected vitamins from Thorne Research are discounted
by 15%!
Regular Shipping is $5.99. 2nd Day Shipping is
$15.00.
Please fax this form Toll Free to 866 771 8487 (VITS) or call us Toll
Free at: 866 551 8487 (VITS)
THANK YOU! We will contact you
when this order is received & shipped.
|