VITAMIN POWER
ORDER FORM
SILESIA GROUP INC.,
P.O. BOX 350
OAK LAWN, IL 60454, USA
TEL/FAX 1-800-6000-GO1 (461)
TEL/FAX 1-773-767-7708
print and fill out the order form below:
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-please cut here-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
NAME: _______________________________________ ADDRESS: ____________________________________
____________________________________ PHONE: ______________________________________
E-MAIL: _____________________________________ ______________________________________________________________________
ITEM NO.| PRODUCT NAME | SIZE | QUANTITY | UNIT PRICE | TOTAL | ======================================================================
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
|_______|___________________|______|__________|______________|_______|
TOTAL |_______| S & H |__$4.00| FINAL TOTAL |_______|
*We deliver outside the U.S.A. with $50 minimum purchase *call or e-mail
us for shipping and handling outside U.S.A. *All prices in U.S. Funds *Prices
subject to change without notice PLEASE MAKE CHECK PAYABLE TO : SILESIA
GROUP INC
VITAMIN POWER
Special instructions/comments: ______________________________________
_____________________________________________________________________ _____________________________________________________________________
Again, please print this form and mail to:
VITAMIN POWER,
SILESIA GROUP INC.,
P.O. BOX 350,
OAK LAWN, IL 60454, USA.
OR FAX IT 24 HRS.:
1-800-6000-GO1 (461)
Thank you for ordering!