Global Nutritional Products / Always-Youthful Secure Fax Order Form

Global Nutritional Products
Secure Fax Order Form
Fax to: 517-629-9793

Global Nutritional Products is pleased to accept your fax order. Be assured that your credit card and personal information is secure.

Instructions: Print out page 1 only. Fill out with your ordering information and fax it to us. The other pages below are for your ordering reference.

If you have any questions please contact us at:
Global Nutritional Products
PO Box 971, Albion, MI 49224

or call 517-629-3840, or fax us at 517-629-9793 , or email.

Order Form
USA orders only

Your Name:___________________________ Credit Card:___MC ___V
#______ ______ ______ ______
(Mastercard or Visa Only)

Address__________________________________ Exp. Date:
___/___

City:___________ State:___ Zip:______ Email:_________________________
Your phone number_______________________________________

Product (write in spaces below) Item Price Quantity Total Cost

___________________________ _____ _____ _______ ________

___________________________ _____ _____ _______ ________

___________________________ _____ _____ _______ ________

___________________________ _____ _____ _______ ________

___________________________ _____ _____ _______ ________

Flat Rate Shipping and Handling $10.50 $10.50

Total Order: $_______

Your Comments:

Thank you for your order!

Product (write in spaces below)	Item	Price	Quantity	Total Cost
___________________________	_____	_____	_______	________
___________________________	_____	_____	_______	________
___________________________	_____	_____	_______	________
___________________________	_____	_____	_______	________
___________________________	_____	_____	_______	________
Flat Rate Shipping and Handling		$10.50		$10.50
Total Order:				$_______
Your Comments:
Thank you for your order!

Site Map Product Listing
Bari-TEC Get in Shape Now Special	IT99	174.80	_______	________
Bari-TEC Blood Support Formula - 360 tablets	IT3	44.95	_______	________
Bari-TEC Blood Support Formula - 360 tablets - Special, Buy One, Get One 50% off!	IT3A	67.43	_______	________
Bari-TEC Bone Support Formula - 360 tablets	IT4	49.95	_______	________
Bari-TEC Broad Spectrum	IT97	89.90	_______	________
Bari-TEC Broad Spectrum - Special, Buy 2, Get the third one 50% off!	IT97A	225.00	_______	________
Country Life Potasium - 90 tablets	CL-1	14.90	_______	________
Tea Flavin - 30 capsules	TL - 68	32.95	_______	________
Champion 2.2 pound Pure Whey Protein Powder Vanilla	CH-V	50.00	_______	________
Champion 2.2 pound Pure Whey Protein Powder Chocolate	CH-C	50.00	_______	________
Champion 2.2 pound Pure Whey Protein Powder Strawberry	CH-C	50.00	_______	________

Thank you for your order!

Your Name:___________________________	Credit Card:___MC ___V #______ ______ ______ ______ (Mastercard or Visa Only)
Address__________________________________	Exp. Date: ___/___
City:___________ State:___ Zip:______	Email:_________________________
Your phone number_______________________________________