Rejuvenate Health

Order Form

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REJUVENATE HEALTH INC.

P. O. BOX 276.  WEST COVINA, CA 91793

Tel: (626)917-3587.   Fax: (626)917-1970

 

                                                                                                                    

本公司產品OSHIGA 瓶裝粉末是高濃縮成品,為方便顧客需要另提供生材(raw herb.)煮水暍.

OSHIGA 產品分二種:

A. 瓶裝粉末/每瓶100--- (現己售完)out of stock.

B. 生材/每包一磅--- (現正發售中)

                                     

瓶裝價格: 每瓶$180.00.  四瓶$600.00 (每瓶$150.00). $120.00.

生材價格: 每包$150.00. 四包$380.00 (每包$95.00). $220.00.  

*產品價包括稅金(TAX),及運費.

   如用私人支票要等两星期,支票對現後貨品才寄出.請見諒. 如支票  跳 票,銀行手續費須自付.                        

* 折扣價如有更改不另通知敬請見諒.

 

To order product, please print form below. Fill out form. Then mail or fax form.

Mailing Address:
PO Box 276
West Covina, CA 91793

Fax number: (626) 917-1970

                                  ORDER FORM FOR OSHIGA

 Date:

QUANITY

數量

PRODUCT DESCRIPTION

產品名稱

      X       UNIT PRICE 單價

= TOTAL合計

 

 

 

 

 

 

 

 

 

 

   

 

 

 

    MERCHANDISE  產品合計

$

 

 

SHIPPING , HANDLING  運費

$

                                                                                                                  Total: 總價

$

 

PERSONAL DATA (DELIVER-TO DATA)

Name

 

        Address           

 

Shipping Address

 

 

Phone

 

Fax  or E-mail address

 

 

Payment Method: ____Money Order.   ____ Cashier Check.   ____ Personal Check.

 

                                _____Charge to My credit card (fill out additional information below):

 

 

CREDIT CARD INFORMATION

Print Cardholders Name:

 

Circle Credit Card Type:

VISA / MASTERCARD

Card Number:

 

Expiration Date:

 

 

SIGNATURE:

 

***VIEW ORDER***   *Our policy is we allowed return of unopened goods within one month. And provided the following
out-of-pocket expenses will be deducted from refund:
1. Courier fees paid to deliver and return (if any) the package
        2. We cannot refund the product that was opened                                                                                        
             
                       
 
TEL:(626)917-3587. FAX:(626)917-1970.
 
 
 
RejuvenateHealth* PO Box 276 * West Covina * CA * 91793
 

 
 
建議-對抗癌症,以現代西医療法為主.再以RPGE輔助,是比較理想的方法.
 
OSHIGA--不是藥物!它不能做任何治療.本品是健康食品.
 
使用前請洽詢医生.  (Consult a Physician before use)
 
 
These statements have not been evaluated by The
Food and Drug Administration. This product is not
intended to diagnose,treat,cure or prevent any disease.