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Print - Fill Out - Mail or Fax in your order Fax to: 1-800-957-1527 Or, Mail it to: FMG C/O Hoodia-Diet Pills.com 40 E. Main Street, Dept. 357, Newark, DE 19711 |
| Name: | _________________________ Email:_________________________ |
| Address: | _________________________ City:_________________________ |
| State: | _________________________ Country:_________________________ |
| Zip: | _________________________ Phone:(____) ______ - ____________ |
| Hoodoba Pure Hoodia Diet Pills (400MG 90's) | _____ @ $54.95 | = US$ __________(1 to 2 bottles) |
| Hoodoba Pure Hoodia Pills (3-Pack, 400MG): | _____ @ $143.85 | = US$ __________(3-Pack Special): US$47.95ea |
| Hoodoba Pure Hoodia Diet Pills (750MG 60's) | _____ @ $59.00 | = US$ __________(1 to 2 bottles) |
| Hoodoba Pure Hoodia Pills (3-Pack, 750MG): | _____ @ $149.85 | = US$ __________(3-Pack Special): US$49.95ea |
| Hoodoba Hi-Potency Hoodia Elixir (59mls) | _____ @ $54.00 | = US$ __________(1 to 2 bottles) |
| Hoodoba Hi-Potency Elixir (3-Pack): | _____ @ $134.85 | = US$ __________(3-Pack Special): US$44.95ea |
| Hoodoba Hunger Block Plus (120 V-Caps): | _____ @ $54.00 | = US$ __________(1 to 2 bottles) |
| Hoodoba Hunger Block Plus (3-Pack): | _____ @ $143.85 | = US$ __________(3-Pack Special): US$47.95ea |
| Hoodoba Combo Pack (210 Veggie Caps): | _____ @ $89.95 | = US$ __________(1 to 2 packs) |
| Hoodoba Combo Pack (630 Veggie Caps): | _____ @ $263.85 | = US$ __________(3-Pack): US$87.95/pack |
| Hoodoba Pure & Elixir Combo (2 Bottles): | _____ @ $92.95 | = US$ __________(1 to 2 packs) |
| Hoodoba Pure & Elixir Combo (6 Bottles): | _____ @ $263.85 | = US$ __________(3-Pack): US$87.95/pack |
| HB Plus & Elixir Combo (2 Bottles): | _____ @ $99.95 | = US$ __________(1 to 2 packs) |
| HB Plus & Elixir Combo (6 Bottles): | _____ @ $278.85 | = US$ __________(3-Pack): US$92.95/pack |
| Hoodoba Ultimate (3 Bottles): | _____ @ $144.95 | = US$ __________(1 to 2 packs) |
| Hoodoba Ultimate (6 Bottles): | _____ @ $139.85 | = US$ __________(2-Pack): US$139.95/pack |
| LipoRidPM Nighttime Fat Burner (60's): | _____ @ $29.95 | = US$ __________ Or, (3-Pack @ $23.95/bottle) |
| Carborid™ Ultra Carb Blocker (60 Caps): | _____ @ $19.95 | = US$ __________ Or, (3-Pack @ $15.95/bottle) |
| Slenderizer™/Body Cleanser (90 Caps): | _____ @ $29.95 | = US$ __________ Or, (3-Pack @ $24.95/bottle) |
| SUB TOTAL | = US$ __________ | |
| Shipping & Handling | = US$ __________ | |
| TOTAL | = US$ __________ | |
US: US$6.95, US$19.95 US 2-Day; US$29.95 US Next Day; Canada US$19.95; Hawaii, Alaska, Puerto Rico US$9.95; US Virgin Islands US$12.95; UK, Europe, New Zealand & Austrailia - US$15.95; All others - US$29.95.
( ) I am enclosing a check or money order for US$____________
Please note: If you are paying by check you must make it payable to FMG, C/O Hodia-Dietpills.com and mail it in.
( ) I want to charge this purchase to my Credit Card... Check one below:
VISA
MasterCard
American Express
Discover
Card Number: _________________________
Expiry Date: _________ Signature: _________________________
I authorize WeightLossGuide to charge US$____________ to my credit card for purchase of the above.
Note: All orders will be shipped within 48 hours (those with checks will be held until cleared). Credit card charges will appear as WeightLossGuide.com.
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