Regardless
of how you choose to pay, please completely fill out the
on-line order form below and send it by clicking on the
Submit Button.
If you do not fill out this on-line form, your order cannot
be processed.
There
are two ways to order.
1)
On-line using your Visa, Mastercard, or Discover card.
If you are uncomfortable providing credit card information
over the internet, please email us at info@nutragenics.net
with your phone number and we will contact you immediately.
2) By
mail with a money order, cashier's check or cash. Personal
checks cannot be accepted.
If you are ordering by mail, print out the completed order
form and send it with your payment to:
Nutragenics
3703
Fifth Ave. #339
San
Diego, CA 92103
All
orders are sent via USPS Priority Mail or FedEx Ground
unless other arrangements are made.
.
Please
complete all the fields on this order form
Calculate
the totals for the items you want, including shipping
and sales tax.
Quantity
x
Price
Total
Fibefit 4 fl. oz. bottle
x
$7.95
$
Fiberfit
16 fl. oz. bottle
x
$19.95
$
SUBTOTAL
$
SHIPPING 4
oz. Fiberfit (up to 5) = $6.00 4
oz. Fiberfit (over 5) = $7.00
16 oz. Fiberfit (up to 3) = $7.00
16 oz. Fiberfit (over 3) = $10.00
$
SALES TAX California residents
only -
add 7.25% (x
1.0725) sales tax.
Note
that shipping within
California is taxed.
$
GRAND TOTAL
$
Please allow up to 2 weeks for delivery.
(Normal
delivery time is usually under 1 week.)
Date (mm/dd/yyyy):
Select promotional code if applicable:
Name:
Email:
(e.g.: yourname@aol.com)
Phone
number with country, city (if outside U.S.) and
area code:
Referred by (name):
Referrer Email:
Mailing
Name:
Mailing Address:
City/Town:
State/Prov:
Postal Code:
Country:
Comments:
I
am paying
by:
Visa
Mastercard
Discover
Cash
Cashier's Check or Money Order (payable to
Nutragenics, Inc.)
For
Credit Cards only:
Credit
Card #:
Expiration
Date (mm/yy):
3
digit security code (on back of card):
No international orders will be
accepted without this code.
Credit Card Billing Address:
Name
on Credit Card (if different than buyer's name):
Street
Address:
City/Town:
State/Prov.
Postal Code:
Country:
For
PayPal users:
Our apologies, but we no longer accept PayPal due
to several long-standing problems with it. Through
PayPal, we cannot collect all the information needed
to process our customers' orders correctly. Nor
is it possible to make partial refunds with PayPal
in cases where customers accidentally overpay. Finally,
a remarkable number of customers just plain find
PayPal difficult or confusing to use.
