GHR Platinum- Mail
Order Form

Please click on the print
icon above to print this form,
then enter the required information and mail payment to:
GHR Products
P.O. Box 6835
Woodland Hill, CA 91365
USA
1-877-694-4715
SELECT QUANTITY :
The following
are pricing options for GHR Platinum :
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)
- money order
- Personal Checks
- cashier's checks
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: |
____________________________________________________________ |
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: ____________________________________________
|