| http://www.vision-usa.org/ | |
| Order Form -- Vision Products |
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| Send Order
to: Hamilton Global Management 8103 104th St., S.W. Lakewood, WA 98498 USA Tel. (253) 588-4149 Fax: (253) 588-4366 E-mail: vision@mdres.com |
Instructions: Please print this form and complete it by hand or typewriter. Then fax, mail, or phone the form to us to place the order. This method protects your credit card and personal information from theft over the Internet. All orders shipped from the USA within 24 hours of receipt of payment. |
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Note: Items shown below are available to retail customers. Check our price list for items available to distributors. |
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Items You Wish To Order: Lower Prices as of Dec. 2008! |
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Check Items to Order |
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Quantity |
Unit |
Total |
| [ ] | Antiox+ |
_____ |
$29.15 US |
$__________ |
| [ ] | Artemida |
_____ |
$37.35 US |
$__________ |
| [ ] | Artum |
_____ |
$37.35 US |
$__________ |
| [ ] | Brain-O-Flex |
_____ |
$29.15 US |
$__________ |
| [ ] | Cheviton |
_____ |
$29.15 US |
$__________ |
| [ ] | ChromeVital+ |
_____ |
$29.15 US |
$__________ |
| [ ] | Cupers |
_____ |
$37.35 US |
$__________ |
| [ ] | Detox+ |
_____ |
$29.15 US |
$__________ |
| [ ] | Medisoya |
_____ |
$37.35 US |
$__________ |
| [ ] | Mega |
_____ |
$37.35 US |
$__________ |
| [ ] | Nutrimax+ |
_____ |
$29.15 US |
$__________ |
| [ ] | Pax+ Forte |
_____ |
$29.15 US |
$__________ |
| [ ] | Stalon |
_____ |
$37.35 US |
$__________ |
| [ ] | Sveltform+ |
_____ |
$29.15 US |
$__________ |
| [ ] | Ursul |
_____ |
$37.35 US |
$__________ |
| [ ] | Vinex |
_____ |
$29.15 US |
$__________ |
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Subtotal |
$__________ |
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Washington State Sales Tax (WA residents only - 8.90%) |
$__________ |
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Shipping (airmail) |
$ 7.50 US |
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Total |
$__________ |
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| Payment Information: | |||
| Please put a check mark by your method of payment. Make payment in the amount of the total above. Make checks and money orders payable to Hamilton Global Management. If paying by check, please note that shipment will be made after your check clears the bank. | |||
| [ ] Check (Draft) | [ ] Money Order | [ ] MasterCard | [ ] Visa Card |
| [ ] Discover Card | [ ] American Express | ||
| Credit Card Information: |
| Please leave blank if you are paying by check or money order. |
| Credit Card Number: |
| Expiration Date: |
| Name on Credit Card: |
| Cardholder Signature: |
| Shipping Information: |
| Your order will be sent via airmail to the address you show here: |
| Name: |
| Street Address 1: |
| Street Address 2: |
| Street Address 3: |
| City: |
| State/Province: |
| Postal (Zip) Code: |
| Country: |
| Shipping Advice Information: |
| We will notify you by e-mail, fax, or telephone when your order has been shipped or if we have questions. |
| E-mail: |
| Telephone No.: |
| Fax No.: |
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Thank you for your order! |
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Please Send Order As Shown at the Top of this Form |
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Hamilton Global Management, |
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A US corporation, registered in the state of Washington since 1991. |
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Copyright 2008 by Hamilton Global Management Ltd. |