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 US $29.95 per bottle.

Pricing for SEAVIVE® and INTESTIVE® is US $26.95 each.

Pricing for SEACURE® for pets, 100 gram containers and SEACURE® for pets Chewables, 120 chewable tablet containers is US $29.95 each.

Pricing for SEACURE® for pets, 500 gram containers is US $119.95 each.

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 14 to 21 days) to most countries for the following costs:

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 $8.00 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 $11.00 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 $14.00 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 $16.00 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 $18.00 US or
1 container of SEACURE® for pets (500 gram container) for $18.00 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 $35.00 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 $41.00 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 $45.00 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):

_______________________________________________________________________

You can also pay for your order by International Money Order or Bank Draft if you do not have a credit card. Please make your money order or bank draft payable to NATURE DOC in US dollars and include it with this completed form.

Comments/Suggestions:

USE THE PRINT OPTION ON YOUR BROWSER TO PRINT A COPY OF THIS FORM. FILL IT IN AND MAIL THE COMPLETED FORM TO US.