SinusWars · Money Order Form

Please print out this form, fill it in, and post with the money order to:
SinusWars LLC
501 Silverside Road, Suite 105
Wilmington
DE 19809
USA

We do not accept cash, international/foreign money orders or checks.
Please do not send us these or we will have to send them back.

First Name:

Surname:

Shipping
Address:

City:

State:

Zip Code:

Country:

Telephone:

Fax:

Email:

Please double check the email address. We need it to send a confirmation of the order.

Please supply me with the following SinusWars Remedies:
Please note that 1 unit consist of a six week supply unless specified otherwise.

	Remedy		1 unit in US$		2 unit in US$		Totals in US$
	SinusWars1		$39.95		$65.00
	SinusWars2		$39.95		$65.00
	SinusWars3		$39.95		$65.00
	SinusWars 4		$39.95		$65.00
	SinusWars 5		$39.95		$65.00
	SinusWars6		$74.95(12 weeks supply)		$125.00 (24 weeks supply)
	SinusWars7		$39.95		$65.00
	SinusWars8		$74.95 (12 weeks supply)		$125.00 (24 weeks supply)
	SinusWars9		$39.95		$65.00
	SinusWars10		$29.90		$50.00
	SinusWars11		$34.95		$62.91
	SinusWars13		$74.95 (12 weeks supply)		$125.00 (24 weeks supply)
	SinusWars14		$39.95		$65.00
	SinusWars15		$39.95		$65.00
	SinusWars16		$39.95		$65.00
	SinusWars17		$74.95 (12 weeks supply)		$125.00 (24 weeks supply)
	Throat & Tonsil Care		$35.95		$68.31
	OriClear Lung Formula		$27.95		$53.11
	OriDizzy Free		$35.95		$68.31

Please choose a shipping method for the USA

	USA SHIPPING METHODS (Shipped from the US)
					Total
	USPS PRIORITY MAIL- Shipping delivery within 3-10 days		$5.95
	3 day Priority - shipping delivery within 3-4 days		$9.95
	Next Day Shipping - Shipping delivery within 1-2 days		$35.00

	Remedies Total
	Shipping Cost
	Total   $