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 Dr. Joel Wallach Supralife Product Descriptions SupraLife Joins Doc's Family of Companies Youngevity Descriptions and Ordering

SECURE ORDER - Dr Wallach's Family of Companies:
Product Id Product Name/Description Quantity Price
$/ea
SUBTOTAL
Shipping
Total


If this is your first time order sign-up for wholesale pricing in the member area below.
Save about 30% off retail with this order.

* BEST DEAL - Enhanced Sign Up Package GET REBATES !
All Pricing shown here is WHOLESALE.


Cardholder: Your Name as it appears on the Credit Card: (First/Middle/Last)

                    First           Middle                          Last
Card Holder
*Required field*
Card Type:      Visa Master Card American Express Discover
*
Card Number:  - - -
* Please double check your numbers
Expiration Date:   Month   Year
*
C V V * (3 or 4 digit code on back of card) - What is the Secure CVV code? .

Billing Information: (All Orders Shipped U.P.S. Ground)

Name: *  
Address: *UPS will not deliver to PO Boxes.
Address: BILLING Address.
City: *
State:
Zip/Postal Code: *
County
Country *
Phone: *
Fax:
Email: * For Order Confirmation.

Shipping Information (if different than billing) (Ship to):

Name:
Address:
Address:
City:
State:
Zip/Postal Code:
County:
Country:
Phone:
Fax:

Wholesale Sign-Up :

Check one:

<------ Check this box if:  This is your first time order and  you want the wholesale member pricing.
Add $.00 Free sign-up Limited time.

<------ Check this box if :

This is your first time order and want: Wholesale Pricing, Enhanced REBATE package, Info Pack from Doc Wallach, and much more.
Add $10.00 to first order only.

BEST DEAL

<------ Check this box if:  You are a Preferred Customer, have ordered before, and/or  you are already a Member.
Member ID#


<------ Please send me a free CD "Dead Doctors Don't Lie" by Dr Wallach: or
<------ Send a "Dead Doctors Don't Lie" CD to a friend: (FREE) Use comment box below for address details

SEND A FREE CD by DOC WALLACH TO A FRIEND (email request)

Comments/Special Instructions/Suggestions:


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  Thank You For Your Order.


Orders within the contiguous U.S. States are shipped UPS Ground, 7 to 10 days with tracking service. Alaska, Hawaii, U.S. Territories, and Military Mail orders are shipped Parcel Post with the U.S. Postal Service, 2 to 4 weeks without tracking service.
International orders (non-U.S.) are shipped by U.S. Mail Parcel Post, 2 to 4 weeks without tracking service. WE DO NOT SHIP TO PO BOXES.

NOTE: International Customers are responsible for any Customs duties or taxes levied by their country.
ADDITIONAL SHIPPING RATES APPLY ON ALL INTERNATIONAL ORDERS