SUPPLEMENTS ORDER FORM
909-338-3533 / ORDER FAX 909-338-3743
IMPORTANT ORDERING INSTRUCTIONS !  
PLEASE TYPE IN ALL CAPS & PRINT OUT AT 75% BEFORE FAXING
SO WE GET ALL NECESSARY INFO. TO PROCESS THE ORDER.
 
SHIP TO: (UPS /Fedex Will Not Deliver To Post Office Boxes)
NAME:
STREET / P.O.:
CITY: STATE: ZIP:
TELEPHONE: EMAIL
 
BILLING ADDRESS: (If different than Shipping Address )
NAME:
P.O.BOX / OTHER
CITY: STATE: ZIP:
TELEPHONE: EMAIL
IMPORTANT NOTE: Please think your order through thoroughly since all products on this page are NON-REFUNDABLE. EXCHANGE FOR SAME OR LESSER VALUE OR COMPANY CREDIT ONLY
ITEM DESCRIPTION
  
ITEM
 
  
 # UNITS
  
ITEM PRICE
  
ITEM TOTAL

A.C.E.(Adrenal Cortex Extract)

Adrenal Cortex Sublingual Extract

 
 
 
1 fl. oz./ 30 ml. / $60.00
 

 ANTIVIRAL KIT

Lysine Orotate Products

 
 
 
  
(2) Lysine O. 50 tabs + LCO-7 30ml. / $87.00
 

ß-ARTEMETHER PLUS

ARTEMESININ PRODUCTS

 
 
 
SPECIAL ORDER ONLY--ALLOW 10 -12 BIZ DAYS
 

BOLUOKE® FIBINOLASE ENZYMES

FIBRINOLASE ENZYMES

NO RETURNS

 
 
 
SPECIAL ORDER ONLY--ALLOW 10 -12 BIZ DAYS
 

 DHEA / PREGNENALONE USP

PREGNENALONE/DHEA SUBLINGUAL

 
 
  
 
  
 

ELECTRIDINE 358.1 ACTIVE IODINE

(Original Cayce Detoxified Iodine)

NATURAL IODINE PRODUCTS

 
 
 
 
 
Electridine 358.1 2% Tincture, 1 fl. oz. $39.95
 
Electridine Iodine 5% Salve 2 OZ. $52.00
 

 PREGEST ENZYME COMPLEX

CULTURED PLANT ENZYMES

 
 
 
 

ESTROGEN DEFENSE

Estrogen Defense Herbal Formula 

 
 
 
  
 60 gel capsules / $39.95
 

 HYLA-PURE™ HYALURONIC ACID

Hylapure Info.

 
 
 
  
 
 

IMMUPURE™ Colostrum Skincare

ImmuPureColostrumSkincare

 
 
 
  
 

INVISIBLE VEINS™Venous Support

invisibleveins 

 
 
 
  
 
SOLD OUT UNTIL MID SEPT. 2008
 

IRIDODIAL™ Liquid

Iridodial Info.

 
 
 
 
 

L.C.O.-7 OZONIDE SERUMS

LCO-7 Ozonide Serum Flyer

 
 
 
 
 

LIPOSOMAL PRODUCTS

Oral Lipisome Supplements

NO RETURNS

 
 
  
 
  
SPECIAL ORDER ONLY--ALLOW 10 -12 BIZ DAYS
 

  LITHIUM OROTATE (Orig.Nieper)

Lithium Therapy Benefits

 
 
  
 
 

  L-LYSINE OROTATE

Lysine Orotate Products

 
 
  
  600 mg. / 50 tabs $18.50  

MAGNESIUM CHLORIDE SALTS

35% MgCl (Dead Sea Origin)

 
 
 
  
 

 METHYLGLYOXAL HOMEOPATHIC

Methylglyoxal / Glyoxal Products

NO RETURNS

 
 
  
 
  
Single 10-Vial Box $300.00
** NOTE: SPECIAL ORDER. NON- REFUNDABLE
 

MLS-02™ 100% CONCENTRATE

MLS-02™ High pH Liquid

 
 
 
 

 NANO-MAGNESIUM

nano-magnesium

 
 
 
  
16 fl. oz. $19.95
 

NATRAGEST PROGEST. CREAM

NatraGest USP Progesterone Cream

 
 
 
2 oz. Cream $31.95
 

 PREGNENALONE / DHEA Sublingual

PREGNENALONE / DHEA

 
 
 
  
 
 

 PROGESTERONE USP LIPISOME

BioIdentical Progesterone

 
 
 
50 ml. Pump $39.95
 

RE-E-LAX HERBAL LIQUID

RE-E-LAX Herbal

 
 
 
  
 

RETINE-C COMPLEX LIQUUID

Retine-C Complex Methylglyoxal Formula

         
920 cc Bottle $185.00 ea.
OVERNIGHT INSURED SHIPPING REFRIGERATE IMMEDIATELY. ALL SALES FINAL.
   

SHARK LIVER OIL

SHARK LIVER OIL / ALKYGLYCEROLS

 
 
 
120 Caps, 550 mg. $19.95
 

SINUS FLUSH

Sinus Flush

 
 
  
 
  
 44 fl. nasal spray $29.95
 

S.O.D./ CATALASE ENZYME SERUM 

SOD/Catalase Enzyme Liposomal Serum

 
 
  
 
  30 ml. pump $39.95
 

 TOTAL RECALL™

Total Recall Premium Brain Formula

 
 
 
60 Caps, 750 mg. $39.95
 

T.M.G.(Trimethylglycine USP)

TMG INFO

 
 
 
 

 D-XYLITOL,USP Fine

D-Xylitol

 
   
 

XYLICAN ™

XYLICAN

 
 
  
 
  
 

 ZYMUCAN™ ß-Glucan

Zymucan™ ßeta Glucan Complex

 
 
 
 
               

ITEM SUBTOTAL 

 

(Products are only taxable for Residents of CA @ 7.75%) CALIFORNIA SALES TAX

 

ITEM TOTAL 

 

 SHIPPING
    

 

STANDARD SHIPPING IS VIA US PRIORITY MAIL

w/ Green Delivery Confirmation

PRIORITY MAIL Up to 2 lbs. -- $7.00

PRIORITY MAIL 2-4 lbs. -- $10.00

 

Orders valued $100+ Require Signature Confirmation

PLEASE Call for Quote on Larger Packages

 
 

DOMESTIC NON-PRIORITY MAIL SHIPPING OPTIONS:

 
I Don't Want Priority Mail

 INTERNATIONAL SHIPPING:

Shipping fees are based on the carrier, location & speed of delivery. Please choose the preferred Carrier. For estimating charges, go to the carrier's website and type in our zipcode, which is 92325.

NOTE: We'll call or Email the cost.

 
Check if using
INT'L. CARRIER

EMAIL ADDRESS TO SEND TRACKING INFO TO (ALL CAPS PLEASE)

 
  Email me tracking info.

 HANDLING
    

HANDLING ON ALL ORDERS UNDER $250.00 USD

 
     

 SHIPPING & HANDLING TOTAL

 

TOTAL AMOUNT DUE

 

 PAYMENT INFO.
CUSTOMER NAME:
SHIP TO ADDRESS: STREET /PO BOX
 CITY STATEZIP
TELEPHONE:
PLEASE CHOOSE PAYMENT METHOD BY SELECTING FROM MENU
NOTE: Orders with current stock will ship within 48 hours of verification of funds. Orders paid for with personal check will ship within 24 hours after verification of funds which if for out fo state checks can add 4-7 business days. If we're backordered, we'll call to inform you prior to processing the order. SPECIAL ORDER ITEMS ARE SUBJECT TO AVAILABILITY FROM OUR SUPPLIER. PLEASE ALLOW 12-14 BUSINESS DAYS FOR RECEIPT.
 
CARDHOLDER NAME AS ON CARD:
CREDIT CARD #
EXP. DATE:
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(On the back far right 3 digits )
VIRTUAL AUTHORIZATION SIGNATURE
 
PHYSICAL AUTHORIZATION SIGNATURE ___________________________________________________
PLEASE VERIFY CREDIT CARD BILLING ADDRESS INFO.
Credit Card Billing Address is THE SAME as above shipping address
Credit Card Billing Address IS DIFFERENT from shipping address (if yes,fill out info. below)
Card Billing Address:
CityState ZipCode
Telephone
 **** PLEASE READ & ACKNOWLEDGE ****
 
PURCHASE TERMS & POLICIES
    REFUND POLICY : ALL Supplement products purchased from this website are NON-REFUNDABLE. Exchange only of same or lessor value or replacement of damaged products only. Company Credit Issued Valid for 6 mos.
     
    SHIPPING/FULFILLMENT: All orders will be processed within 2-5 business days unless there is a backorder on a particular item in which case the customer is notified when placing the order. All orders are prepaid in advance. Backorders will be shipped as soon as available. If for some reason there is an undue delay in receipt of stock from a vendor, we will notify the customer and issue a credit for the item which was backordered or exchange it for another product of same or lesser value at the customer's discretion.
 
  PLEASE CHECK THE BOX & SIGN BELOW
(WE CAN'T PROCESS THE ORDER WITHOUT A SIGNATURE)
I have read and understand the terms of this order and agree to purchase terms. Signature
*** PLEASE PRINT OUT AT 80% ON YOUR PRINTER SO WE GET ALL INFORMATION & FAX IT IN AT NUMBER BELOW ***
 ** Mandatory FDA Disclaimer: The statements & some of the products shown on this website have not been evaluated by the US Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. Those seeking treatment for a specific disease should consult a qualified integrative physician prior to using our products if possible. **
 
FAX ORDER LINE: 909-338-3743 / OFFICE 909-338-3533
(Best Time to Fax is Before 8:00 a.m. and after 4:00 PST since our modem shares the line)
©1994-2009 Arrowhead HealthWorks ™ P.O.Box 3668, Crestline, CA 92325
E-mail: dbormann@arrowheadhealthworks.com