www.MyVits.com

Fax Order Form - Toll Free 866 771 8487 (VITS)

Billing and Shipping Information

Bill To:

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Ship To:

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Bill Phone:

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Ship Phone:

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Fax:

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E-mail Address:

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Credit Card Information

Name on card:

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Card Type:

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(We accept Visa, MasterCard, AMEX, Discover)

Card Number:

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Exp. Date: ___________

Please place your order carefully. We are unable to accept returns.

Product Name

Size

Qty

Unit Price

Ext. Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal: _________
15% Discount (if applicable): _________
Discounted Subtotal: _________
Add 8.25% Sales Tax (CA Residents ONLY): _________
Shipping & Handling: _________

TOTAL COST: ________

Selected vitamins from Thorne Research are discounted by 15%!

Regular Shipping is $5.99. 2nd Day Shipping is $15.00.

Please fax this form Toll Free to 866 771 8487 (VITS)
or call us Toll Free at: 866 551 8487 (VITS)


THANK YOU! We will contact you when this order is received & shipped.