Alternative Health Products International

FAX Order Form: Print, fill this form and Fax it to: 250-339-0286

Shipping and handling will be added 

 

Product name ordered ................................... ...Quantity:......................

Price:.........................................................................................

Your Name:...................................................................................

Address:............................................................................................

City:..............................................................................................

State& Country:............................................................................               

Post./Zip code:..............................Phone(........)....................................

Fax:(..........).................................Email:..............................................

Discover, American Express,
MasterCard or VISA.# .................  .................  ............... .................

Expiration Date:......../........ 

Security # ................( 3 digits number at the reverse of the card beside the signature)         

 Signature:...................................................  

 

 

We accept money orders and checks. Orders Are Shipped The Same Day if we received it before 3 Pm Pacific standard time (6 Pm Eastern).

  Edited By ComboWeb .All Rights Reserved. Revised Jan 2002