Nature's RX Direct Inc. Mail-In Order Form
(REF# N27464)
PO BOX 445, Paoli,
OK, USA 73074
Toll Free Order Line: 1-800-969-9598
E-Mail: vitamins@classichits.com
| Quantity | Item | Price |
| *Total | |
| Shipping Click for Rates | |
| *INSTANT REBATE: Your Total must be $100 or more to qualify, paying by Check, Money Order, or Bank Wire only. Deduct $10.00 if over $100 -or- Deduct $30 if over $300 -or- Deduct $50 if over $500. | |
| Total Due | |
| Shipping Address: | |
| Name: | |
| Address: | |
| City | |
| State: Zip Code: Country: | |
| Phone Number: Email: | |
| Method Of Payment: Check____ Money Order____ Credit Card____ | |
| Credit Card #: Exp Date: | |
| CC Name: | |
| CC Billing Address: CVV # (3 or 4 digits on back of card): | |