![]() Print - Fill Out - Mail or Fax Your Order Fax to: 1-800-957-1527 Mail to: SHC C/O WeightLossGuide.com 8437 Tuttle Avenue, Ste 403 Sarasota, FL 34243 (For fast delivery Click Here to return to previous page. Click the "Add To Cart" button). |
| Name: | _________________________ |
| Email: | _________________________ |
| Address: | _________________________ |
| (Same Day Mailing by US Postal Service—PO Boxes OK) | |
| City: | _________________________ |
| State: | _________________________ |
| Country: | _________________________ |
| Zip: | _________________________ |
| Phone: | (____) ______ - ____________ |
| Calm™: | _____ @ $24.95 | = $ __________ Or, Buy 2 Get 1 Free: $16.83 per bottle |
| CarboRid™: | _____ @ $24.95 | = $ __________ Or, Buy 2 Get 1 Free: $16.63 per bottle |
| CelluMelt™: | _____ @ $39.95 | = $ __________ Or, Buy 2 Get 1 Free: $26.63 per bottle |
| Colon Cleanse Ultra™: | _____ @ $25.95 | = $ __________ Or, Buy 2 Get 1 Free: $17.30 per bottle |
| Fat Blaster™: | _____ @ $44.95 | = $ __________ Or, Buy 2 Get 1 Free: $29.97 per bottle |
| Hoodoba® Liquid: | _____ @ $53.96 | = $ __________ Or, Buy 2 Get 1 Free: $35.97 per bottle |
| Hoodoba® Pure 400MG: | _____ @ $47.95 | = $ __________ Or, Buy 2 Get 1 Free: $39.95 per bottle |
| Hoodoba® Pure 750MG: | _____ @ $59.95 | = $ __________ Or, Buy 2 Get 1 Free: $49.95 per bottle |
| Hoodoba®Hunger Block: | _____ @ $54.00 | = $ __________ Or, Buy 2 Get 1 Free: $47.95 per bottle |
| Hoodoba® HB Combo: | _____ @ $89.95 | = $ __________ Or, Buy 2 Get 1 Free: $78.95 per bottle |
| Internal Body Cleanse™: | _____ @ $39.95 | = $ __________ Or, Buy 2 Get 1 Free: $26.63 per bottle |
| Life Core™: | _____ @ $39.95 | = $ __________ Or, Buy 2 Get 1 Free: $26.63 per bottle |
| Lift™: | _____ @ $19.95 | = $ __________ Or, Buy 2 Get 1 Free: $13.30 per bottle |
| LipoRid AM™: | _____ @ $29.95 | = $ __________ Or, Buy 2 Get 1 Free: $19.97 per bottle |
| LipoRid PM™: | _____ @ $29.95 | = $ __________ Or, Buy 2 Get 1 Free: $19.97 per bottle |
| Mega Factor™: | _____ @ $29.95 | = $ __________ Or, Buy 2 Get 1 Free: $19.97 per bottle |
| MeltRx 24 Ultra®: | _____ @ $54.00 | = $ __________ Or, Buy 2 Get 1 Free: $36.00 per bottle |
| NutriMelt® Shakes: | _____ @ $27.95 | = $ __________ Chocolate: Or, (4-Box bargain): $22.49 per box |
| NutriMelt® Shakes: | _____ @ $27.95 | = $ __________ Vanilla: Or, (4-Box bargain): $22.49 per box |
| NutriMelt® Shakes: | _____ @ $27.95 | = $ __________ Strawberry: Or, (4-Box bargain): $22.49 per box |
| Organic Flax Oil: | _____ @ $14.95 | = $ __________ Or, Buy 2 Get 1 Free: $9.97 per bottle |
| Organic Flax Seed: | _____ @ $7.95 | = $ __________ Or, Buy 2 Get 1 Free: $5.30 per bag |
| PantoSure™ Plus: | _____ @ $21.95 | = $ __________ Or, Buy 2 Get 1 Free: $14.63 per bottle |
| Protein Food Bars: | _____ @ $29.95 | = $ __________ Chocolate Brownie: 1 Box (15 Bars) |
| Protein Food Bars: | _____ @ $29.95 | = $ __________ S'Mores: 1 Box (15 Bars) |
| Protein Food Bars: | _____ @ $29.95 | = $ __________ Raspberry: 1 Box (15 Bars) |
| Slenderizer™: | _____ @ $39.95 | = $ __________ Or, Buy 2 Get 1 Free: $26.63 per bottle |
| Skinny Gazelle™: | _____ @ $15.99 | = $ __________ Or, (12-Pack): $2.21 per bottle |
| System I: | _____ @ $99.95 | = $ __________ Drink: Chocolate Vanilla Both |
| System II: | _____ @ $139.95 | = $ __________ Drink: Chocolate Vanilla Both |
| System III: | _____ @ $199.95 | = $ __________Drink: Chocolate Vanilla Both |
| System Gold: | _____ @ $249.95 | = $ __________Drink: Chocolate Vanilla Both |
| Tonalin CLA (90 ct.): | _____ @ $21.95 | = $ __________ Or, Buy 2 Get 1 Free: $14.63 per bottle |
| Ultimate Success Kit: | _____ @ $97.95 | = $ __________ Or, (3-Kit bundle): $65.30 per kit |
| Viatril™: | _____ @ $21.95 | = $ __________ Or, Buy 2 Get 1 Free: $14.63 per bottle |
| Viasure™: | _____ @ $21.95 | = $ __________ Or, Buy 2 Get 1 Free: $14.63 per bottle |
| SUB TOTAL | = $ __________ | |
| Shipping & Handling | = $ __________ | |
| TOTAL | = $ __________ | |
US: $9.95; $19.95 2-Day Express; $29.95 Next Day Delivery; Canada, Alaska & Hawaii: Ad $10 to US rate; UK, Europe and Austrailia $29.95.
( ) I am enclosing a check or money order for $____________
Please note: If you are paying by check you must make it payable to FMG, LLC
and mail it in. We do not accept checks by fax.
( ) I want to charge this purchase to my Credit Card
Credit Card (check one):
VISA
MasterCard
American Express
Discover
Card Number: _________________________
Expiry Date: _________ Signature: _________________________
I authorize Strictly Health Corp. to charge $____________ to my credit card for the purchase (and shipment) of the above products.
Note: If you are using a credit card charges will show up on your statement under Strictly Health, LLC which is our parent company. All orders will be shipped within 48 hours of receipt. Orders accompanied by checks will be held until cleared.
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