Print out this form using your browser, then fill in the information
needed to place your order. Mail the completed form to us at the following
address:
NATURE
DOC
P.O. Box 1027
Pearl City, HAWAII 96782
USA
ORDERING INFORMATION:
Quantity ACES + ZINC, 60 softgels, US $12.95 each. SCAR SO SOFT, 1 ounce (30 ml) bottle, US $19.95 each. SEACURE, 180 capsules, US $29.95 each.
CUSTOMER INFORMATION:
NOTE: All fields marked with an *
are REQUIRED!
First Name:* ______________________________________________________________
Last Name:* ______________________________________________________________
U.S. Express Mail - US $18.00 for up to 1 lb.(2.2 kg), usually
3 to 4 day delivery time. Insured for loss. READ THIS-->
U.S. Air Mail - US $5.00 for up to 1 lb.(2.2 kg), usually 10 to
14 day delivery time. You except all risk for loss! READ ->
PAYMENT INFORMATION:
You can pay for your order with your credit card OR you can pay by international
bank draft/money order. Most banks in Canada and Mexico offer either an
international bank draft or an international money order.
CREDIT CARD PAYMENTS
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Visa
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American Express
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Check this box if you are paying by international bank draft/money order.
Please make the international bank draft/money order payable to NATURE
DOC in US Dollars. Do not forget to include the cost of shipping. Include
your international bank draft/ money order with this form when you mail
it to NATURE
DOC.
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