Sweet n Healthy separator bar

SECURE PRODUCT ORDER FORM

PRODUCT Shipping
& Handling		 Regular
Price		 Health Club Price

Sweet n Healthy
53 Gram Shaker
(Approx. 2 oz)		 $3.00 $13.95 $10.95
Quantity:        

212 Gram Container
(Approx. 7.5 oz.)		 $4.00 $39.95 $32.95
Quantity:        

PowerPak Combo
53 Gram Shaker &
212 Gram Container		 $6.00 $48.95 $39.95
Quantity:        

Baking / Cooking
Special
900 Gram Container		 $9.75 $149.95 $99.95
Quantity:        

Cardio LifeTM
25.3 oz.		 $5.00* $39.95 $29.95
Quantity:        
Cardio LifeTM
6.3 0z.		 $4.00* $19.95 $14.95
Quantity:        

Vita TrimTM $4.00* $39.95 $29.95
Quantity:        

PowerPak Combo
Cardio LifeTM 25.3 oz.
& Vita TrimTM		 $7.00* $71.95 $54.95
Quantity:        

Florida Residents Add 7% Sales Tax

* Each - additional quantities are shipped at actual postage plus $5.00 for handling. International orders are shipped best way and charged actual shipping plus $5.00 handling.

NOTE: You must be a Health Club Member to order at the Health Club Price, and to receive the Special Limited Time Preproduction Pricing.

REGISTER TO BECOME A HEALTH CLUB MEMBER HERE

PAYMENT OPTIONS:
  • CHECK: Mail to
    Health Rewards
    11350 66th St. N. Suite 108
    Largo, Florida 33773

  • Phone or Fax: Dial Toll Free - 1-800-304-1161

  • Credit Card: Complete the information below.

PAYMENT INFORMATION: Charges will appear on your statement as

"Technology Services International".

Charges are incurred when the order is received for Special Pricing Only.
Otherwise charges will be incurred when the product is shipped. 


     Your Name:
Street Address:
          City:
         State: Zip:
         Phone:-
           Fax:-

 Email Address: 
                         (Required)  

 Member Number: 
                         (Required)  

CREDIT CARD INFORMATION 

  Type of Card: Visa    Mastercard

  Name on Card:
   Card Number:
     Exp. Date:

Comments or Questions

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