Fax/Mail Order Form:
Products Shipped by Next Business Day
 
Instructions:

1. Enter the Quantity you want & multiply by the product price and enter into the Subtotal boxes.
2. Add up the Subtotal amounts and enter that amount into the 1 Subtotal box.
3. Select the appropriate Shipping charge from the drop down list 2.
4. Add boxes 1 & 2, enter this amount into box 3. This is your Total Payable.
5. Fill out the Shipping & Credit Card Information sections.
6. Print this page and FAX or Mail it to us, our address is at the bottom.
 
Item Size: Price US$: Qty: Subtotal: 
Combo Specials
TrueBlue™ & The Kitchen Sink™ 		       
1 of each bottle   67.90 X = $
6 of each bottles   299.00 X = $
The Kitchen Sink™ MultiVitamins/Anti-Aging
- 180 Gelatin Capsules
     
1 bottle   44.95 X = $
2 to 5 bottles   39.95 X = $
6 to 11 bottles   32.95 X = $
12 or more bottles   29.95 X = $
TrueBlue™ Coral Calcium & 73 Coral Minerals - 120 Capsules
40 to 60 Days Supply      
1 to 3 bottles   27.95
 X = $
4 to 11 bottles   24.95
 X = $
12 or more bottles   21.95
 X = $
TrueBlue™ Coral Calcium & 73 Coral Minerals
- 147 grams Powder
73.5 to 147 Days Supply      
1 to 2 bottles   36.95
 X = $
3 to 5 bottles   34.95
 X = $
6 or more bottles   29.95
 X = $
  1 Subtotal   $
2 Shipping
3 Total Payable Add lines 1 & 2  $







Billing Address
Your Credit Card can only be processed if correct address and phone number that your credit card is registered to is supplied.
Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone #:
Email:
 (for order confirmation)
Credit Card Information
Credit Card:          Visa MasterCard
Card #:
Card Expiry: Month: Year: CVV2#:
Name:
 (as shown on card)
Shipping Address (only if different from Billing Address)
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone #:
   
FAX or Mail to:
 
AlgaeCal Inc
c/o: Call Center
#2805-1323 Homer St. Vancouver, BC V6B 5T1 Canada
Toll-Free 1-888-259-1290
FAX 604-899-4572