FAX Order
Form
for International Customers
Print out this form using the print option under the file menu of your browser (top left corner of your browser window), then fill in the information needed to place your order. If you have any questions about this form, give us a call at 817-607-8531. Fax the completed form to us at 817-977-1240. We will process it right away and send your order to you within 24 hours (excluding weekends).
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 US $23.95,
2 bottles for US $47.90,
3 bottles for US $71.85,
4 bottles for US $91.80 or
5 bottles for US $109.75.
Pricing for SEAVIVE® and INTESTIVE®
is as follows:
1 bottle or box for US $23.95,
2 bottles or boxes for US $47.90,
3 bottles or boxes for US $71.85,
4 bottles or boxes for US $91.80 or
5 bottles or boxes for US $109.75.
We will mix orders and give you the volume discount. For example, order
2 bottles SEACURE® of and 1 box
of INTESTIVE® and receive all
3 for the price of US $71.85 (2
bottles of SEACURE®
at US $23.95 each and 1 box of INTESTIVE®
at US $23.95).
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 US $23.95 each.
Pricing for SEACURE®
for pets, 500 gram containers is as follows:
1 or more containers at US $99.95 each.
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*____________________________________________________________________
County, State or Province (If Applicable) ________________________________________
Postal Code/ Number (If Applicable) ___________________________________________
Country* _______________________________________________________________
Work or Home Phone Number ______________________________________________
SHIPPING INFORMATION:
We offer US Postal Service International Air Mail delivery (about 10 to 14 days) to most countries
for the following costs: _______________________________________________________________________ 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 International customers.
1 bottle of SEACURE®
or SEAVIVE®,
1 box of INTESTIVE®,
1 container of SEACURE® for pets (100 gram container) or 1 container of
SEACURE® for pets Chewables
for $7.00 US,
2 bottles of SEACURE®
or SEAVIVE®,
2 boxes of INTESTIVE®,
2 containers of SEACURE® for pets (100 gram containers) or 2 containers of
SEACURE® for pets Chewables
for $9.00 US,
3 bottles of SEACURE®
or SEAVIVE®,
3 boxes of INTESTIVE®,
3 containers of SEACURE® for pets (100 gram containers) or 3 containers of
SEACURE® for pets Chewables
for $13.00 US,
4 bottles of SEACURE®
or SEAVIVE®,
4 boxes of INTESTIVE®,
4 containers of SEACURE® for pets (100 gram containers) or 4 containers of
SEACURE® for pets Chewables
for $15.00 US,
5 bottles of SEACURE®
or SEAVIVE®,
5 boxes of INTESTIVE®,
5 containers of SEACURE® for pets (100 gram containers) or 5 containers of
SEACURE® for pets Chewables
for $17.00 US or
1 container of SEACURE® for pets (500 gram container) for $15.00 US.
If you need your order more quickly, we offer US Postal Service Express Mail with 5 to 7 day delivery
to most countries. The cost is as follows:
1 bottle of
SEACURE®
or SEAVIVE®,
1 box of INTESTIVE®,
1 container of SEACURE® for pets (100 gram container) or 1 container of
SEACURE® for pets Chewables
for $28.00 US,
2 bottles of SEACURE®
or SEAVIVE®,
2 boxes of INTESTIVE®,
2 containers of SEACURE® for pets (100 gram containers) or 2 containers of
SEACURE® for pets Chewables
for $33.00 US, or
3, 4 or 5 bottles of SEACURE®
or SEAVIVE®;
3, 4 or 5 boxes of INTESTIVE®;
3, 4 or 5 containers of SEACURE® for pets (100 gram containers);
3, 4 or 5 containers of SEACURE® for pets Chewables or 1 container of SEACURE®
for pets (500 gram container)
for $37.00 US.
Please select the type of shipping that you want for your order:
US Postal Service International Air Mail
US Postal Service Express 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:
© 1999-2010 Seacure-Protein. All Rights
Reserved. 817-607-8531
SEACURE® is a registered trademark
of Proper Nutrition, Inc.
feedback@seacure-protein.com
