| Customer
Name: |
| Address: |
|
|
| Day
Phone: |
Eve.
Phone: |
Fax: |
E-mail: |
|
| Qty |
Item |
Description |
Price |
Total |
| |
HFBVP |
Hair Formula 37™
Best Value Plus Special (2 bottles Step
One, 4 bottles Step Two, 2bottle Herbal Booster) |
$119.99 |
|
|
HFBVS |
Hair Formula 37™
Best Value Special (2 bottles Step
One, 4 bottles Step Two) |
$89.99 |
|
|
HFTMP |
Hair Formula 37™
"Try Me" Plus Special (1
bottles Step One, 2 bottles Step Two, 1bottle Herbal Booster) |
$64.99 |
|
|
HFTM |
Hair Formula 37™
"Try Me" Special (1
bottles
Step One, 2 bottles Step Two) |
$49.99 |
|
| |
HFVCP |
1 box Viviscal and Hair Formula 37™ Herbal
Booster |
$85.99 |
|
| |
HFVC |
1 box Viviscal and the Try Me Special above (HFTM) |
$115.99 |
|
| |
HFO |
Hair Formula 37™
Step One (1 bottles - 60 tablets per bottle) |
$24.99 |
|
| |
HFO |
Hair Formula 37™
Step One (2 bottles - 60 tablets per bottle) |
$45.99 |
|
| |
HFO |
Hair Formula 37™
Step One (3 bottles - 60 tablets per bottle) |
$62.99 |
|
| |
HFO |
Hair Formula 37™
Step One ( 6 bottles - 60 tablets per bottle) |
$113.99 |
|
| |
HFT |
Hair Formula 37™
Step Two ( 1 bottle - 90 tablets per bottle) |
$24.99 |
|
| |
HFT |
Hair Formula 37™
Step Two ( 2 bottles - 90 tablets per bottle) |
$45.99 |
|
| |
HFT |
Hair Formula 37™
Step Two ( 3 bottles - 90 tablets per bottle) |
$62.99 |
|
| |
HFT |
Hair Formula 37™
Step Two ( 6 bottles - 90 tablets per bottle) |
$113.99 |
|
| |
HFT |
Hair Formula 37™
Step Two ( 12 bottles - 90 tablets per bottle) |
$203.99 |
|
| |
HFHB |
Hair Formula 37™
Herbal Booster (60 tablets per bottle) |
$19.99 |
|
|
VT |
Vivsical™ Tablets - 1 box - (60 count) |
$69.99 |
|
| |
VT3 |
Vivsical™ Tablets - 3 boxes - (180 count)
($66.66ea.) |
$199.98 |
|
| |
VT6 |
Vivsical™ Tablets - 6 boxes - (360 count)
($65.99ea.) |
$395.94 |
|
| |
VT12 |
Vivsical™ Tablets - 12 boxes - (720count)
Best Buy! ($58.33ea) |
$699.96 |
|
| |
VTY |
One Year - Viviscal™ Membership Plan
Order a twelve
month supply without the cash outlay. Each month, for 12 months, we will
ship you a one-month supply of Viviscal Tablets and charge you for only
that month. Credit card members only.
|
$59.99 |
|
| |
VTM |
6 Month - Viviscal™ Membership Plan
Order a six month supply without the cash outlay. Each
month, for 6 months, we will ship you a one-month supply of Viviscal Tablets
and charge you for only that month. Credit card members only.
|
$65.99 |
|
| SUBTOTAL: |
|
SALES
TAX:
(8.25% in TN) |
|
| SHIPPING
(USA ONLY): |
$5.00 |
| TOTAL
AMOUNT: |
$ |