Bill To Address Ship To Address (if different from billing address)
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Special Limited Time Offer!!  Take advantage of this special offer for Mother Nature's Miracle™
Order one 32oz. bottle a $79.00 value for only $50.00 + $11.00 shipping.
Order Two 32oz. bottles of Mother Nature's Miracle™ for $100.00 + $14.00 shipping and get a
THIRD BOTTLE FREE!
Order Four 32oz. bottles of Mother Nature's Miracle™ for $200.00 + $22.00 shipping and get
TWO BOTTLES FREE!

Mother Nature's
Triple Arthojointflex™ 32oz. $79.95

Order one 32oz. bottle for only $50.00 + $11.00 shipping.

Order Two 32oz. bottles of Mother Nature's Triple Arthojointflex™ for $100.00 + $14.00 shipping and get a THIRD BOTTLE FREE!
Outside US add $26.00 shipping for all products Outside US
add $43.00
shipping for
all products
4 Bottle case not shipped outside US Including Mother Nature's Triple Arthojointflex™ Order Four 32oz. bottles of Mother Nature's Triple Arthojointflex™ for $200.00 + $22.00 shipping and get
TWO BOTTLES FREE!
Qty Product Name

Shipping and Handling

Price Total
1 (example)  Mother Nature's Miracle 32 oz. $11.00 $50.00 $61.00
         
         
         
         
      Total Amount  
Method of Payment (circle one)

Print this form, fill in your address and payment information, and send the completed form to us by Mail:

Gordon E Gainey
3644 Meadowview Road
Kershaw, SC 29067

Please make checks payable to:
Gordon E Gainey

       Check   -   Money Order   -   Visa   -   Master Card
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Gordon E Gainey Independent Distributor, 3644 Meadowview Road, Kershaw, S.C. 29067 Phone: 803-475-5948
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