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									                                                Mail-in Order Form
Name:_________________________________                      Phone:____________________

Address:________________________________                     Email:____________________

City:__________________________                 State:_________         Zip Code:___________

Credit Card:_________            Card Number:___________________________ Exp:_____

Please mail check, money order or credit card orders to:
The Xylitol Depot, PO Box 970131, Orem, Utah, 84097

                                                         Case Size        Price    Quantity    Total
                          Chewing Gum
Spry 100ct Spearmint                                       each            $6.99
Spry 100ct Peppermint                                      each            $6.99
Spry 100ct Cinnamon                                        each            $6.99
Spry 100ct Fruit                                           each            $6.99
Spry 100ct 3 Pack-please specify flavor→                   3 jars         $18.99
Spry 100ct Variety 4 Pack- ONE OF EACH FLAVOR              4 jars         $24.99

Ricochet 100ct Spearmint                                   each            $7.25
Ricochet 100ct Peppermint                                  each            $7.25
Ricochet 100ct Cinnamon                                    each            $7.25
Ricochet 100ct Fruit                                       each            $7.25
Ricochet 3 Pack-please specify flavor→                     3 jars         $19.49
Ricochet Variety 4 Pack-ONE OF EACH FLAVOR                 4 jars         $25.60

Spry Spearmint Blister                                      each          $14.49
Spry Peppermint Blister                                     each          $14.49
Spry Cinnamon Blister                                       each          $14.49
Spry Fruit Blister                                          each          $14.49
                                                         4-20 Card
Spry Blister Variety Pack-ONE OF EACH FLAVOR            Blister packs     $47.99

Spry 600ct Spearmint                                        each          $32.99
Spry 600ct Peppermint                                       each          $32.99
Spry 600ct Cinnamon                                         each          $32.99
Spry 600ct Fruit                                            each          $32.99
                              Mints
Spry 240ct Peppermint Mints                              each         $7.49
Spry 240ct Lemon Mints                                   each         $7.49
Spry 240ct Berry Mints                                   each         $7.49
Spry 240ct Mint 3 Pack                                   each        $20.99

Ricochet 100ct Peppermint Mints                          each         $3.25
Ricochet 100ct Lemon Mints                               each         $3.25
Ricochet 100ct Fruit Mints                               each         $3.25

Ricochet 100ct Mint 3 Pack-Specify Flavor here→       3 mint tins     $8.97
Epic Peppermint 60ct Mints                              each          $2.99
Epic Fruit 60ct Mints                                   each          $2.99
Epic 3 Pack Mint-Specify Flavor here→                 3 mint tins     $8.97
                              Misc.
                                                       1 – 1.5oz
Xlear 1.5oz Nasal Wash                                   Bottle      $10.99
                                                       3 - .75oz
Xlear 3 Pack Nasal Wash                                 Bottles      $16.99

Spry Toothpaste                                       1 – 4oz tube    $3.99
Spry Toothpaste 3 Pack                               3 – 4oz Tubes   $11.29

                                                       1 – 16oz
Spry Oral Rinse                                         Bottle        $4.95

Xylosweet 100ct Packets                              1 – 100ct Box    $8.99
Xylosweet 1lb Bag                                     1 – 1lb Bag     $6.99
Xylosweet 3lb bag                                     1 – 3lb Bag    $16.75


     Please mail check, money order or credit card orders to:

     The Xylitol Depot
     Box 970131
     Orem, Utah 84097

     Please add any questions or comments below. Thank you for your order

								
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