To FAX ORDER: Please print this order form, fill out information and
fax to (212) 557-5063.
To ORDER ONLINE: Click on Shopping Cart Buttons.
For any questions call (212) 983-6383.
MONDO-MER, Inc. Suite 114 •
333 East 43rd Street, New York, NY 10017
Phone (212) 983-6383 Fax (212) 557-5063
Date: _________________ Phone: _____________________________
Name: ________________________________________________________________________
Address:__________________________________Town_____________State_______Zip
______
Payment by check or credit card:
Money Order or Check #_____________________ Made out to
Mondo-Mer, Inc.
Credit Card Info-Circle One-Visa/Mastercard/Amex:
_________________________ Ex _____/_____
Product |
Size |
Price |
Qty |
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Total |
Shopping
Cart |
Ultra Hi-Power Capsules
Buy 2 or more and SAVE |
180 |
$62 ea
$58 ea |
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Shipping |
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Shipping and Handling Charges
UPS Flat Rate $15.00.
Thank You For Your
Purchase!
We will contact you to confirm your order. |