FAX Order
Form
for Canadian Customers
NOTE: We will be closed from Sunday, 01/04/2009 until Sunday, 01/11/2009. We will re-open on Monday, 01/12/2009.
ORDERING INFORMATION:
Quantity
bottles of
SEACURE®, 180 capsules per bottle, 500 mg each.
bottles of SEAVIVE®,
90 capsules per bottle, 500 mg each.
boxes of
INTESTIVE®, 120 capsules per box, 500 mg each.
containers of SEACURE®
for pets, 100 grams with scoop.
containers of SEACURE®
for pets, 500 grams without scoop.
containers of SEACURE®
for pets Chewables, 120 chewable tablets.
Pricing for SEACURE®
is as follows:
1 bottle for $23.95 US,
2 bottles for $47.90 US,
3 bottles for $71.85 US,
4 bottles for $91.80 US or
5 bottles for $109.75 US.
Pricing for SEAVIVE®
and INTESTIVE®
is as follows:
1 bottle or box for $23.95 US,
2 bottles or boxes for $47.90 US,
3 bottles or boxes for $71.85 US,
4 bottles or boxes for $91.80 US or
5 bottles or boxes for $109.75 US.
We will mix orders and give you the volume discount. For example, order
2 bottles SEACURE® and 2 boxes
of INTESTIVE® and receive all
4 for the price of $91.80 US
(2 bottles of SEACURE®
at $22.95 US each and 2 boxes of INTESTIVE®
at $22.95 US).
Pricing for SEACURE®
for pets, 100 gram containers and SEACURE®
for pets Chewables, 120 chewable tablet containers is as follows:
1 or more containers for $23.95 US each.
Pricing for SEACURE®
for pets, 500 gram containers is as follows:
1 or more containes at $99.95 USeach.
We do NOT offer volume or case discounts for the 100 or 500 gram containers of SEACURE®
for pets or for the containers of SEACURE®
for pets Chewables.
CUSTOMER INFORMATION:
NOTE: All fields marked with an *
are REQUIRED!
First Name:* ______________________________________________________________
Last Name:* ______________________________________________________________
e-mail address* ____________________________________________________________
Address Line1* ____________________________________________________________
Address Line2 _____________________________________________________________
City* ____________________________________________________________________
Province/Territory*
_________________________________________________________
Postal Code* _____________________________________________________________
CANADA
Work or Home Phone Number _______________________________________________
SHIPPING INFORMATION:
If you order 1 to 5 bottles of SEACURE®
or SEAVIVE® or
1 to
5 boxes
of INTESTIVE®,
the cost for US Postal Service Express Mail delivery for you
order is $25.00
US (delivery in 4 to 5 days). UPS
Worldwide Saver Express delivery costs $65.00
US to most areas (delivery in 4 to 5 days).
We also offer US Postal Service International Air Mail delivery
for your order. Delivery time is usually 7 to 10 days to most addresses. The cost
for US Postal Service International Air Mail delivery is $6.00
US .
Please select the type of shipping that you want for your order:
US Postal Service Express Mail,
UPS Worldwide Express,
US Postal Service International Air Mail
PAYMENT INFORMATION:
Credit Card Type: (fill in one circle)
Visa
MasterCard
American Express
Discover
Credit Card Number: ______________________________________________________
Expiration Date (Month/Year): ______________________________________________
Name of the person as it appears on the credit card (REQUIRED):
_________________________________________________________________________
Comments/Suggestions:
USE THE PRINT OPTION ON YOUR BROWSER TO PRINT A COPY OF THIS FORM. FILL IT IN AND FAX THE COMPLETED FORM TO US AT 817-977-1240.
Return to SEACURE-PROTEIN order
page for Canadian customers.
© 1999-2009 Seacure-Protein. All Rights
Reserved.
1-800-952-5884 or 817-645-4134.
SEACURE® is a registered trademark
of Proper Nutrition, Inc.
feedback@seacure-protein.com
