ORIGINAL HGH 1000 - Fax -In Order Form
Please click on the print icon above to print this form,
then enter the required information and fax to:
GHR Products
(877) 400-1110
SELECT QUANTITY :
The following are pricing options for ORIGINAL HGH 1000:
SELECT QUANTITY BELOW:
The following are pricing options for HGH 1000 Non-Recurring Order (Ships once)
1 Month Supply (1 Bottle) $45.95
3 Month Supply (3 Bottles) $137.85
6 Month Supply (6 Bottles) $119.97
12 Month Supply (12 Bottles) 179.95
The following are pricing options for HGH 1000 Recurring Orders (Automatic shipments - Lower Prices - Cancel Anytime)
1 Month Supply (1 Bottle) $39.95 (ships once a month)
3 Month Supply (3 Bottles) $97.00(ships every 3 months)
6 Month Supply (6 Bottles) $159.95 (ships every 6 months)
12 Month Supply (12 Bottles) $269.40 (ships every 12 months)
California residents please add 8.25% sales tax. All prices are in U.S. Dollars.
PAYMENT OPTIONS
We accept the following forms of payment (U.S. funds only)
- money order
- Personal Checks
- cashier's checks
Note: Personal checks must clear bank before shipping.
Please make your payment payable to: "GHR Products"
CUSTOMER SHIPPING INFORMATION |
FULL NAME: |
____________________________________________________________ |
STREET ADDRESS: |
____________________________________________________________ |
CITY, STATE, ZIP: |
____________________________________________________________ |
COUNTRY/PROVINCE: |
____________________________________________________________ |
TELEPHONE NUMBER: |
____________________________________________________________ |
Your order will be shipped via USPS. If you wish to receive tracking information please be sure to include your email address.
AGE VERIFICATION
I hereby certify that I am at least 18 years of age.
CUSTOMER SIGNATURE: ____________________________________________
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