SinusWars · Order Form

 

 

 

 

Please print out this form, fill it in and fax it to us at 1-302-358-2980  in the US

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

$35.00

$65.00

 

SinusWars2

$30.00

$65.00

 

SinusWars3 - OriFlu Away

$25.00

$45.00

 

SinusWars4

$30.00

$55.00

 

SinusWars5

$25.00

$45.00

 

SinusWars7

$35.00

$65.00

 

SinusWars70

$35.00

$65.00

 

SinusWars8

$59.95 (12 weeks supply)

$109.90 (24 weeks supply)

 

SinusWars9

$35.00

$65.00

 

SinusWars10

$30.00

$55.00

 

SinusWars11

$35.00

$65.00

 

SinusWars13

$59.95 (12 weeks supply)

$109.90 (24 weeks supply)

 

SinusWars14

$35.00

$65.00

 

SinusWars16

$30.00

$55.00

 

OriEasy Sleep

$30.00

$55.00

 

OriThroat & Tonsil Care

$30.00

$55.00

 

OriClear Lung Formula

$30.00

$55.00

 

OriDizzy Free

$30.00

$55.00

 


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         $

 

 


Card Details

 

NAME ON CREDIT CARD:

 

CREDIT CARD TYPE:

 

CREDIT CARD NUMBER:

 

LAST 3 DIGITS OF NUMBER ON THE BACK OF YOUR CARD:

 

EXPIRATION DATE:

Month:

Year:

SIGNATURE:

 

DATE:

 

COMMENTS: