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MAIL Order Form
for US 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 1-817-607-8531. Mail the completed form to us at the following address:

NATURE DOC
P.O. Box 777
Joshua, TX 76058-0777

ORDERING INFORMATION:

Quantity
bottles of SEACURE®, 180 capsules per bottle, 500 mg each.
boxes of SEACURE®, 180 capsules per box of blister packs, 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.

SHIPPING INFORMATION:

We offer FREE shipping for customers in the USA! Delivery times average 3 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 1-817-607-8531 for a price quote.

CUSTOMER INFORMATION:

NOTE: All fields marked with an * are REQUIRED!

First Name:* ______________________________________________________________

Last Name:* ______________________________________________________________

e-mail address* ____________________________________________________________

Address Line1* ____________________________________________________________

Address Line2 _____________________________________________________________

City* ____________________________________________________________________

State* ___________________________________________________________________

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 Discover

Credit Card Number: ______________________________________________________

Expiration Date (Month/Year): ______________________________________________

Name of the person as it appears on the credit card (REQUIRED):

________________________________________________________________________

________________________________________________________________________

PERSONAL CHECK PAYMENTS

Check this box if you are paying by personal check. Include your check with this form. Please make your check payable to NATURE DOC. Do not forget to include the cost of shipping if you are upgrading the shipping that you want for your order.

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.

Return to SEACURE-PROTEIN order page for US customers.

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1-817-607-8531 (Office)
SEACURE®, SEAVIVE®, INTESTIVE®, and SEACURE® for Pets are registered trademarks of Proper Nutrition, Inc.

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