Name:_____________________________ E-mail Address: _____________________ Street Address:______________________________ City:_________________ State:____ Postal Code/Zip:________ Country __________ Phone:( )_____________ SS#: _____ - ___ - _______ (SS# required with enrollments) | ||
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Ordering Information: Item # is not required - Product Name and Quantity(Qty.) ARE required. Item# Qty. Product Name/Description Price Total |______|____|__________________________________|____________|___________| |______|____|__________________________________|____________|___________| |______|____|__________________________________|____________|___________| |______|____|__________________________________|____________|___________| |______|____|__________________________________|____________|___________| |______|____|__________________________________|____________|___________| |______|____|__________________________________|_Shipping -->_|___________| |______|____|__________________________________|____ Tax -->_|___________| ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total = ___________| Shipping & Handling: (check one) Continental United States* International Orders¤¤ ( ) Regular Service - $6.99 (any product amount shipped for only $6.99) ( ) 2nd Day - 6% of product total ($15 min.) *Actual freight will be charged when expedited shipping is required for certain heavy items and on all shipments to Alaska and Hawaii. * Sales Tax: Royal BodyCare is registered to collect state and local sales tax in states which require collection of sales tax. There are only 3 states that do not require tax to be collected (PA, NY, FL). Method Of Payment: VISA__ MasterCard__ Discover__ AMEX__ Check/Money Order #_________ (payable to: Todd N. Thompson) Name On Card_________________________________ Card# _________-__________-__________-__________ EXP Date:___________ Signature:___________________________________ THANK YOU for your order!! |