CT Cream - Express Re-Order Form

To place your RE-Order please provide us with the following information:

Your Last Name:

Your Zip/Postal Code:

Your Daytime Phone Number:

Your E-mail Address:

Select your RE-Order Quantity In The Left Hand Column Below.

*FREE SHIPPING On All Orders Of 3 Jars Or More....U.S. AND Worldwide!

RE-Order Quantity	Price Per Jar	Shipping	Total Price U.S. Dollars
1 Jar WITHIN The U.S.A.	$19.95	$3.95	$23.90
1 Jar OUTSIDE The U.S.A.	$19.95	$7.95	$27.90
2 Jars WITHIN The U.S.A.	$18.95	$3.95	$41.85 $2 Discount
2 Jars OUTSIDE The U.S.A.	$18.95	$7.95	$45.85 $2 Discount
3 Jars U.S. & WORLDWIDE	$18.95		$56.85 $3 Off + FREE Shipping
4 Jars U.S. & WORLDWIDE	$17.95		$71.80 $8 Off + FREE Shipping
6 Jars U.S. & WORLDWIDE	15.95		$95.70 $24 Off + FREE Shipping
12 Jars U.S. & WORLDWIDE	14.95		$179.40 $60 Off + FREE Shipping

*All Orders Are Processed & Shipped Within One Business Day.

Copyright � 1998-2008 Biomax Health Products, Inc. All Rights Reserved.
14844 Fisher Cove, Suite 200
Del Mar, CA 92014 U.S.A.
U.S. & Canada: 800-541-3550 / Worldwide: 858-232-1900
Fax: 858-876-3190 / e-mail: info@ctcream.com
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