GHR Products - Mail Order Form
Please print this form, enter the required information and mail to:
GHR Products
5633 Topanga Canyon Bl. Suite #203
Woodland Hills City, CA 91367
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):
- 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: ___________________________________________
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
5633 Topanga Canyon Bl. Suite #203
Woodland Hills City, CA 91367
USA