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 1-800-952-5884
or 817-645-4134. 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 ofSEAVIVE®,
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,
2 bottles for $47.90 ($23.95 each),
3 bottles for $71.85 ($23.95 each),
4 bottles for $91.80 ($22.95 each),
5 bottles for $109.75 ($21.95 each) or
12 bottles (1 case) for $251.40 ($20.95 each).
Pricing for SEAVIVE®
and INTESTIVE®
is as follows:
1 bottle or box for $23.95,
2 bottles or boxes for $47.90 ($23.95
each),
3 bottles or boxes for $71.85 ($23.95
each),
4 bottles or boxes for $91.80 ($22.95
each),
5 bottles or boxes for $109.75 ($21.95
each) or
12 bottles or boxes (1 case) for $251.40 ($20.95 each).
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 each.
Pricing for SEACURE®
for pets, 500 gram containers is as follows:
1 or more containes at $99.95 each. We do NOT offer volume or case discounts for the 100 or 500 gram containers of SEACURE®
for pets.
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 $71.85 (2
bottles of SEACURE®
at $23.95 each and 1 box of INTESTIVE®
at $23.95) with FREE
shipping via US PRIORITY MAIL!
SHIPPING INFORMATION:
We offer FREE shipping for customers in the USA!
Delivery times average 2 to 4 days to most addresses.
If you want to upgrade to UPS GROUND, UPS 2ND DAY AIR, UPS NEXT DAY AIR OR US EXPRESS MAIL, please call
us at 1-800-952-5884 for a price quote.
CUSTOMER INFORMATION:
NOTE: All fields marked with an *
are REQUIRED!
First Name:* ______________________________________________________________
Last Name:* ______________________________________________________________
Zip Code* _______________________________________________________________
USA
The address above is a (Check one please):
____ Business Address ______ Residential Address
Work Phone Number _______________________________________________________
Home Phone Number _______________________________________________________
Fax Phone Number _________________________________________________________
PAYMENT INFORMATION:
You can pay for your order with your credit card OR from your checking
account. Do not forget to include the cost of shipping if you are upgrading
the shipping that you want for your order.
CREDIT CARD PAYMENTS
Credit Card Type: (fill in one circle)
Visa
MasterCard
American Express
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