USVitamin.Com

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USVitamin.Com® Order Form - Print Now! Mail completed form to: Debbie Allen, CNHP PO Box 102771 Denver, CO 80250 Phone Orders: 1-800-769-7923 Local Orders:(303)782-4842 Fax Orders: (303) 782-4919 Who referred you to this website? Sponsor Information: Sponsor name: __________________________ Sponsor RBC ID#: _____________________ Debbie Allen - Sponsor ID# 106634 Ship To: Name:__________________________________ E-mail Address: _____________________ Street Address:___________________________________      City:_________________ State:____ Zip:________ | (circle one) USA // Canada Phone:(       )_____________    SS#: _____ - ___ - _______ (SS# required with enrollments)

Ordering Information: Item # is not required - Product Name and Quantity(Qty.) ARE required.   Item#    Qty.        Product Name/Description                             Price              Total |______|_1__|__Member Kit_______________________|____________|_25.00 USD| |______|____|__________________________________|____________|___________| |______|____|__________________________________|____________|___________| |______|____|__________________________________|____________|___________| |______|____|__________________________________|____________|___________| |______|____|__________________________________|____________|___________| |______|____|__________________________________|SHIPPING-->|___________| |______|____|__________________________________|     TAX--->     |___________| Shipping & Handling: ___Continental USA* ONLY (       ) Smart Post (2 weeks) $7.99 (       ) Fed Ex Home Del. (4-7 Days) $10.99 (       ) Fed Ex 2nd day $30-60 (Call) ** We no longer ship Int'l orders. * Sales Tax: Royal BodyCare is registered to collect state and local sales tax in states which require collection of sales tax. Tax is billed on the retail figure. Please call me to determine tax status in your state. Orders placed without TAX added will not be processed. See more Tax Details: CLICK HERE Method Of Payment: VISA__  MasterCard__  Discover__  AMEX__  Check/Money Order #_________ Name On Card_________________________________ Card# _________-__________-__________-__________ EXP Date:___________ Signature:___________________________________         THANK YOU for your order!! Complete form - all checks made out and mailed or Fax to Debbie Allen Please fax or e-mail this form (copy and paste) to USVitamin Orders -- or use our Secured Online Order form. Return to Order page. INCOMPLETE ORDERS WILL BE DELAYED. BE SURE TO FILL OUT FORM PROPERLY - INCL. TAX AND SHIPPING.