GHR Products - Mail Order Form



Please print this form, enter the required information and mail to:

GHR Products
P.O. Box 1343
Catheral City, CA 92235
USA



SELECT QUANTITY :

  The following are pricing options for GHR Products (please underline or highlight one):

1 Bottle GHR Platinum - $64.50 per bottle Total $64.50

3 Bottles GHR Platinum - $43 per bottle Total $129.00

4 Bottles GHR Platinum - $38.50 per bottle Total $154.00

5 Bottles GHR Platinum - $35.80 per bottle Total $179.00

6 Bottles GHR Platinum - $34.00 per bottle Total $204.00

7 Bottles GHR Platinum - $32.75 per bottle Total $229.00

8 Bottles GHR Platinum - $31.75 per bottle Total $254.00

9 Bottles GHR Platinum - $31.00 per bottle Total $279.00

10 Bottles GHR Platinum - $30.40 per bottle Total $304.00

11 Bottles GHR Platinum - $29.90 per bot Total $329.00

12 Bottles GHR Platinum - $29.25 per bot Total $351.00


California residents please add 8.25% sales tax.  All prices are in U.S. Dollars.


PAYMENT OPTIONS

  We accept the following forms of payment (U.S. funds only):
  Note: Personal checks must clear bank before shipping.


  Please make your payment payable to: "GHR Products"


CUSTOMER SHIPPING INFORMATION

  FULL NAME: ____________________________________________________

  STREET ADDRESS: _______________________________________________

  CITY, STATE, ZIP: _______________________________________________

  COUNTRY/PROVINCE: ___________________________________________

  TELEPHONE NUMBER: ___________________________________________

  EMAIL ADDRESS: ______________________________________________

Your order will be shipped via USPS. If you wish to receive tracking information please be sure to include your email address.


AGE VERIFICATION

  I hereby certify that I am at least 18 years of age.


  CUSTOMER SIGNATURE: ____________________________________________

  This text must be present on order form:         




MAIL THIS COMPLETED FORM (WITH PAYMENT) TO:

GHR Products
P.O. Box 1343
Catheral City, CA 92235
USA