RPM TOTAL VITALITY
18032 Lemon Drive, Suite C, Yorba Linda, CA 92886-3386 (714) 524-8864 ▪ Fax (714) 524-3247 Order Toll Free, 24 Hours a Day: (800) 234-3092
ORDER FORM
SUB TOTAL
[CALIFORNIA RESIDENTS ADD 7.75%] SALES TAX
US ORDERS
$5.00
CANADIAN ORDERS
$5.00 + $5.00 per lb.
INTERNATIONAL ORDERS
$5.00 + $10.00 per lb.
** USPS Global Express MailŪ Available Worldwide **
OPTIONAL SHIPPING (CIRCLE ONE)
USPS - Global Express MailŪ
$20.00 1st 2 lbs.
$2.00 ea add'l lb.
UPS - 2ND DAY AIR
$10.00 1st lb.
UPS - 3 DAY SELECT
$8.00 1st lb
$1.00 ea add'l lb.
Approximately 5 Bottles per pound
All amounts are U.S. $
GRAND TOTAL
Order online at: WWW.RPMTV.COM or rpmtotalvitality.com
CHECK MONEY ORDER (circle payment option)
CREDIT CARD / CHECK NUMBER _________________________________ EXP. DATE _____ / _____ SIGNATURE ______________________________________________________________________
Thank You For Your Order