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MAIL Order Form
for US Territories/Associations

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 808-218-1811. Mail the completed form to us at the following address:

NATURE DOC
P.O. Box 1027
Pearl City, HAWAII 96782
USA

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.

Pricing for SEACURE® is as follows:

1 bottle for US $29.95 with FREE shipping via US Priority Mail,
2 bottles for US $57.90 ($28.95 each) with FREE shipping via US Priority Mail,
3 bottles for US $83.85 ($27.95 each) with FREE shipping via US Priority Mail,
4 bottles for US $107.80 ($26.95 each) with FREE shipping via US Priority Mail,
5 bottles for US $129.75 ($25.95 each) with FREE shipping via US Priority Mail.

Pricing for SEAVIVE® and INTESTIVE® is as follows:

1 bottle or box for US $26.95 with FREE shipping via US Priority Mail,
2 bottles or boxes for US $51.90 (US $25.95 each) with FREE shipping via US Priority Mail,
3 bottles or boxes for US $74.85 (US $24.95 each) with FREE shipping via US Priority Mail,
4 bottles or boxes for US $95.80 (US $23.95 each) with FREE shipping via US Priority Mail or
5 bottles or boxes for US $114.75 (US $22.95 each) with FREE shipping via US Priority Mail.


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 $80.85 (2 bottles of SEACURE® at US $27.95 each and 1 box of INTESTIVE® at US $24.95) with FREE shipping via US Priority Mail!

If you are ordering 1 bottle of SEACURE® or SEAVIVE® or 1 box of INTESTIVE®, you can upgrade your shipping to US EXPRESS MAIL for $10.00. US Express Mail does deliver on the weekends!

If you are ordering 2 or more bottles of SEACURE® or SEAVIVE® or 2 or more boxes of INTESTIVE®, you can upgrade your shipping to US EXPRESS MAIL for $12.00. US Express Mail does deliver on the weekends!

I want to upgrade to US Express Mail shipping for my order!

CUSTOMER INFORMATION:

NOTE: All fields marked with an * are REQUIRED!

First Name:* ______________________________________________________________

Last Name:* ______________________________________________________________

e-mail address* ____________________________________________________________

Address Line1* ____________________________________________________________

Address Line2 _____________________________________________________________

City* ____________________________________________________________________

Country* _________________________________________________________________

Zip Code* ________________________________________________________________

Contact Phone Number (if available) ____________________________________________

PAYMENT INFORMATION:

You can pay for your order with your credit card OR from your checking account.

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 Territories/Associations.

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SEACURE® is a registered trademark of Proper Nutrition, Inc.

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