Doctor Millers Tea P.O. Box 10242
NAME _________________________________ COMPANY NAME ___________________________________
SHIPPING ADDRESS:
STREET No. & NAME __________________________________ APT OR SUITE NUMBER _____________
CITY, STATE & ZIP _________________________________________________________________________
TELEPHONE NUMBER ________________________ E-MAIL _______________________________________
# PACKS ITEM TOTAL COST
________ HOLY TEA (8 tea bags per package) @ $24.95 each ____________
________ MIRACLE TEA (8 tea bags per package) @ $24.95 each ____________
________ YOUTHIN (20 four-pill packs) @ $39.95 each ____________
________ YOUthin PLAN (120 pills & 8 tea bags) @ $59.95 each ____________
________ YOUthin ULTRA (180 pills & 8 tea bags) @ $69.95 each ____________
________ YOUthin NV (180 pills & 8 tea bags) @ $69.95 each ____________
________ BE FREE (8 capsules & 4 tea bags) @ $59.95 ____________
________ LUXORIA (30 capsules) @ $39.95 ____________
SUB TOTAL $ ____________ S&H ($6.95 UNDER 10 ITEMS or $10.95 10 ITEMS OR MORE) $ __________
TOTAL OF ORDER $ ____________ See Bulk Price List for discounts.
Thank you for your order! We very much appreciate your business.
Please make checks or Money Orders payable to DoctorMillersTea. Allow 7-10 days for personal checks to clear before order is shipped. |