Nutritional Supplements Corporation, Inc

Specials

	Free shipping on orders over $55

Mail-in Order Form


Order Form
Name a
Address a
City State aZip
Phone number a - a - a
Email address a
Product		Price		Quantity	Total
Viadevita
o Single Bottle		$19.95	x	a	a
o Case (24 bottles)		$478.80	x	a	a
Ev24seven
o Single Bottle		$39.95	x	a	a
o Case (24 bottles)		$718.80	x	a	a
Diabrex
o Single Bottle		$39.95	x	a	a
o Case (24 bottles)		$718.80	x	a	a
ExtendNS
o Single Bottle		$39.95	x	a	a
o Case (24 bottles)		$718.80	x	a	a
Rheumadol
o Single Bottle		$39.95	x	a	a
o Case (24 bottles)		$718.80	x	a	a
Vitadone
o Single Bottle		$19.95	x	a	a
o Case (24 bottles)		$478.80	x	a	a
SB1000
o Single Bottle		$19.95	x	a	a
o Case (24 bottles)		$478.80	x	a	a
	Shipping: Bottles – 1=$8.50 3= $12.50, Case - $18.00 **Free shipping on orders over $55.00		x	a	a
	8% Sales tax for Alabama residents				a
Total					a
Make checks payable to Nutritional Supplements Corporation, Inc.
Credit Card (MC, Visa, American Express) a
Credit Card Number
Expiration date a
Please send order form to: Nutrtional Supplements Corp, Inc, P.O. Box 36945,Birmingham, AL 35236 Phone: 1.800.504.1161

Order Form