VITAMIN POWER ORDER FORM

SILESIA GROUP INC.

P.O. BOX 350

OAK LAWN, IL 60454, USA

Secured Order Direct From Printed Catalogs

catalogs@biznet1.com

TO RECEIVE YOUR CATALOG E MAIL YOUR NAME AND ADDRESS

If you have our printed catalog, you can still order on-line. It's easy, it's safe, and it's pretty fun, too! If you have any special instructions for any items entered here, you'll have the opportunity to enter them at checkout time.

Product number from Catalog:
Brief Product Description:
Enter Price from Catalog:
Enter Quantity desired:

THANK YOU FOR USING BUSINESS NETWORK MALL THE BIZNETMALL
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BY PERSONAL CHECK OR MONEY ORDER

NAME:
Email Address:
ADDRESS:
CITY:		STATE:
ZIP:
PHONE:

Please choose payment method:

Item No.	Product Name	Quantity	Unit Price	TOTAL

	S&H:	$3.00 (in USA only)
	Total:

Special Instructions (e.g. use Express, Ship To, Confirm Order...etc)

An e-mail will be sent to you for confirmation of order

FAX, MAIL IN ORDER FORM

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
We deliver outside the U.S.A. with $50 minimum purchase

VITAMIN POWER ORDER FORM

SILESIA GROUP INC.

P.O. BOX 350

OAK LAWN, IL 60454, USA Secured Order Direct From Printed Catalogs

BY PERSONAL CHECK OR MONEY ORDER

NAME:

Email Address:

ADDRESS:

CITY:

STATE:

ZIP:

PHONE:

FAX, MAIL IN ORDER FORM

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OAK LAWN, IL 60454, USA

Secured Order Direct From Printed Catalogs