|
|
Mail Order Page
|
Print & mail with payment to:
Leading Edge Herbals
149 Old Gray Station Rd
Gray, TN
37615
United States of America
For Office Use Only:
None
|
|
SHIPPING INFORMATION
|
Contact Person:
|
|
|
Phone Number:
|
|
|
Email Address:
|
|
|
Delivery/Mail Address:
|
|
|
|
|
|
PAYMENT DETAILS
Please make all checks and money orders payable to:
"DM Contact Management Ltd"
Notice: All payments must be made in USD (US $) only.
|
|
If you are paying by credit card, please fill in the required information below:
|
|
Card Number:
|
|
|
Card Expiration Date (MM/YY):
|
|
|
Name as it appears on card:
|
|
|
Credit Card Street Address:
|
|
|
Credit Card City, State:
|
|
|
Credit Card Country:
|
|
|
Credit Card Zip/Country Code:
|
|
Cardholder Signature:
|
|
|
|
Please select the credit card type used for this order:
|
MasterCard
|
Visa
|
American Express
|
Eurocard
|
|
|
|
*** NOTE ***
We never automatically ship more systems to you and bill your credit card unless you reorder.
|
|
|
SHIPPING COST
*** Please choose international shipping (INT) if you are outside the USA. ***
UPS 2-3 Day - $16.99
|
UPS Overnight - $36.99
|
UPS 3-5 Day - $14.99
|
USPS Regular 7-10 Days - $12.99
|
Fedex Rush 2-5 Days (INT) - $35.00
|
Parcel Post Mail 10-14 Days (INT) - $19.99
|
DHL Rush 3-6 Days (INT) - $29.99
|
|
|
| Item Code | Description | Price in US$ | Quantity (Please Specify) |
| 001 |
Deluxe ProExtender System |
$429.95 / system |
  |
| 002 |
Original ProExtender System |
$329.95 / system |
  |
| 003 |
Deluxe ProExtender Device |
$399.95 / device |
  |
| 004 |
Original ProExtender Device |
$299.95 / device |
  |
|
| Special Offer Product |
Regular Price in US$ |
Special Price in US$ |
Price Savings |
Quantity (Please Specify) |
|
VigRX Oil
|
$49.95 / bottle
|
$39.95 / bottle
|
20%
|
|
|