Docstoc

order - Download Now PDF

Document Sample
order - Download Now PDF Powered By Docstoc
					                                             The Total Woman
                                           Judy Ponsford, NP
                                9998 N Dransfeld Rd, Parker, CO 80134
                                  (303) 805-5465 Fax (303) 805-5467
                                          PRODUCT ORDER FORM
                             (place a check mark next to the products you wish to order)
MRS 2000 Designo Med Set                                                                     $ 3,558.00 ___
      This includes the unit capable of 400% intensity, mat, isolation pad, and probe
      (Shipping and Handling $80)
      FREE WITH PURCHASE - $80 worth of products from the Total Woman
               Toxic Free Skin Care Line

MRS 2000 Designo Home Set                                                                    $ 2,785.00 ___
       This includes a unit capable of 200% intensity, mat, and isolation pad
       (Shipping and Handling $80)
       FREE WITH PURCHASE - $80 worth of products from the Total Woman
                Toxic Free Skin Care Line
Sound-Light Relaxation Kit                                                                   $ 310.00 ___
       Includes glasses, headset, and program CD
       (Shipping and Handling $20)

SkinDream                                                                                    $ 619.00 ___
       Includes ultrasound and one tube of gel
       (Shipping and Handling $33)

Ultrasound gel                                                                               $    63.00 ___
        (Shipping and Handling $4)

SUBTOTAL                                                                                     $_________
      Shipping and Handling                                                                  $_________

        TOTAL                                                                                $_________

 For MRS 2000 orders: To redeem your free Skin Care Products, simply download the order form under “Products –
    Total Woman Toxic Free Skin Care Line.” An $80 credit will be applied to the products you choose simply by
                                      returning the order forms together.

 To keep our prices competitive and shipping affordable, the products listed on this order form will be shipped to you
                         directly from the manufacturer in Germany. Taxes do not apply.

                        To place your order, simply fax, mail, or drop this form to our office.
                                A credit card is required for all fax and mail orders.

Name: _________________________________________                    Phone # ____________________________

        ______ Please Ship the Order to me        _______ Please Call me for Pickup When My Order Arrives

        Credit Card Number (Visa or MC Only): _______________________________________________

        Expiration Date _____/_____

        Signature __________________________________________________________________________




     For Office Use Only: ______ Date Order Placed _____ Date Order Arrived ____ Date Order Shipped/Picked Up

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:8
posted:8/21/2012
language:English
pages:1