ORDER NOW BY FILLING IN THE ONLINE FORM BELOW

Please provide the following information for your order:

PERSONAL
First name *
Middle initial
Last name *
Street address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone
FAX
E-mail *
  
QTY DESCRIPTION

AMOUNT
        
  200 Tablet Bottle Barley Power $17.99

  400 Tablet Bottle Barley Power $27.99

        
  200 Tablet Bottle Barley plus Cayenne      $17.99

  400 Tablet Bottle Barley plus Cayenne      $27.99

        
  150 Tablet Bottle Barley with Chromium Picolinate  $17.99

  300 Tablet Bottle Barley with Chromium Picolinate  $27.99

        
  90 Veggie Capsules Petal Soft $29.95

        
    *SHIPPING TOTAL

   
* Shipping charges for orders shipped outside the United States will be charged the actual shipping amount based on the country destination. The shipping amount reflected here DOES NOT reflect the exact shipping total for locations outside the United States. Please call our office to get the exact shipping amount that will be added to your order for shipments outside the United States.
 
    * The below shipping prices are good for orders shipped within the United States ONLY:
 
   

SMALL BOTTLES:

  
 
   

For the 1st Bottle:

 $3.50  
   

For Each Additional Bottle:

 $3.00  
       

 
   

LARGE BOTTLES:

  
 
   

For the 1st Bottle:

 $4.50  
   

For Each Additional Bottle:

 $3.50  
     
 
                                                           TOTAL

      
  BILLING
Name on card:
Card number:  
Card type:
Expiration date: /
CVV number: last three digits on back of card
             Call Me For The Card Information
  
  SHIPPING
Street address:
Address (cont.):
City:
State/Province:
Zip/Postal code:
 

  

You can also order by calling us at:
800-358-0777

PRICES

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