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Lance Hamilton
*Product Order Form* Go to Home Page
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Print
this form out & mail or copy and email: to.
Lance Hamilton 222 Ash Ct
Lawrenceburg, KY 40342
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Just click on
an item to order online with credit or debit card {Secure
Transaction}
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| Phone Your Order in at Phone: 1-877-839-1512 |
email it Email: lmgcam300@bellsouth.net |
Order online (Secure Transaction) |
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| ITEM NUMBER | ITEM DESCRIPTION | *MEMBER PRICE* | *RETAIL PRICE* | *total column* |
| 101013 | AM-300 ct 90 | click here for $27.00 | click here for $45.00 | Qty___$ |
| 101021 | Super Antioxidant ct 60 | click here for $23.00 | click here for $38.00 | Qty___$ |
| 101031 | Shark cartilage 60ct. 500mg | click here for $22.00 | click here for $36.00 | Qty___$ |
| 101141 | Chlorella 150ct 200mg | click here for $23.00 | click here for $38.00 | Qty___$ |
| 150031 | Prime Plus | click here for $37.50 | click here for $60.00 | Qty___$ |
| 101471 | Colloidal Silver 4 oz. | click here for $23.00 | click here for $38.00 | Qty___$ |
| 101461 | Kelp Enhanced | click here for $22.00 | click here for $36.00 | Qty___$ |
| 401011 | Balance Cream 2 oz. | click here for $19.00 | click here for $30.00 | Qty___$ |
| Wholesale Register Package &120 ct. AM300 | Wholesale Register Package>>>>>>>>> | qualifies wholesale prices | call for price | Qty___$ |
| 101231 Colloidal minerals | Spark of life 32 oz **** | click here for $32.00 | click here for $52.00 | Qty___$ |
| 101271 | Digest Eze 90ct. | click here for $24.00 | click here for $40.00 | Qty___$ |
| 101151 (Pine bark extract) | Gold Plus 90ct | click here for $23.00 | click here for $38.00 | Qty___$ |
| 101361 | NatureFlex with Glucosamine 60ct | click here for $78.00 | click here for $78.00 | Qty___$ |
| 101341 | Prosta Clear 60ct. | click here for $18.00 | click here for $30.00 | Qty___$ |
| 150001 | Prime One 33.8 oz | click here for $30.00 | click here for $45.00 | Qty___$ |
| tf1 | Top-Fast-Chocolate | click here for $30.00 | click here for $45.00 | Qty___$ |
| tf2 | Topp-Fast-Vanilla | click here for $30.00 | click here for $45.00 | Qty___$ |
| wmb1 | AM300 W/Mouth 120ct | click here for $37.00 | click here for $60.00 | Qty___$ |
| trbt12 | Prime One Concentrate 1.06 fl oz bottle | click here for $30.00 | click here for $45.00 | Qty___$ |
| ? | product not on list _________________ | _/_/_/_/_/_/_/_/_/_/ ty___ $_______________ |
| Name |
subtotal
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=_/_/_/_/_/_/_/_/_/_/_/_/_/$_______________ |
| address |
sales tax =____
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=_/_/_/_/_/_/_/_/_/_/_/_/_/$_______________ |
| address |
standard
shipping
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=_/_/_/_/_/_/_/_/_/_/_/_/_/$_______________ |
| SS# |
total
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=_/_/_/_/_/_/_/_/_/_/_/_/_/$_______________ |
| Ph# | sign here x______________________ | _/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/ |
| Name on card: | Type of card_________ Exp.Date:___-____ | Card # __________-_________-__________-__________ |
To sign up for bank draft (auto ship) simply mail a void check in with this order form, cancel at any time with 1 toll free call Home