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ORDER BY CHECK PAYMENT

PAYING BY CHECK IS FAST, SAFE AND INEXPENSIVE WAY TO PLACE ORDERS - YOUR CHECK WILL BE CLEARED LIKE A REGULAR CHECK AND SENT TO YOUR BANK
IF YOU WOULD RATHER PRINT OUT A ORDER FORM AND MAIL IT GO HERE

To Order by Check

Your full name:
Your email address: (e.g.: you@aol.com)

Your phone number (with country, city, area codes):

Address:
City/Town: State/Prov.: Post./Zip Code:
Country:

YOU CAN ALSO FAX A COPY OF YOUR CHECK TO (603)761-3291

Enter your check account number
Enter the number of the check
Enter the bank transit number-bottom of check usually 9 numbers
Enter your bank's branch number-upper right as 00-0000/0000
Enter the full name of your bank
Enter the bank City and State
ORDER FORM

ENTER THE PRODUCT ITEM NUMBER (SUCH AS 438R)
ENTER THE QUANITY

ENTER THE PRODUCT ITEM NUMBER (SUCH AS 438R)
ENTER THE QUANITY

ENTER THE PRODUCT ITEM NUMBER (SUCH AS 438R)
ENTER THE QUANITY

ENTER THE PRODUCT ITEM NUMBER (SUCH AS 438R)
ENTER THE QUANITY

ENTER THE PRODUCT ITEM NUMBER (SUCH AS 438R)
ENTER THE QUANITY

ENTER THE PRODUCT ITEM NUMBER (SUCH AS 438R)
ENTER THE QUANITY

ENTER THE PRODUCT ITEM NUMBER (SUCH AS 438R)
ENTER THE QUANITY

ENTER THE PRODUCT ITEM NUMBER (SUCH AS 438R)
ENTER THE QUANITY

ADD $4.00 SHIPPING PER ORDER

**ENTER THE AMOUNT OF CHECK** $
ENTER COMMENTS OR ORDER ADDITIONAL ITEMS HERE

BY SUBMITTING THIS FORM YOU ARE GIVING US PERMISSION TO DRAFT THIS CHECK FOR PAYMENT OF VITAMIN POWER PRODUCTS

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