Acne-Vitamins.com Mail Order Form

 

Please fill out this form in full, then print and send to:

 

Acne-Vitamins.com Mail Order

10460 Roosevelt Blvd N

Suite 116

St. Petersburg, FL 33716

 

*Mail orders must be to US or Canadian addresses.

*Prices already include shipping (First Class Mail, delivers in 3-7 business days)

 

Include a check or money order payable to Acne-Vitamins.com for:

 

Clearade Drink Mix

Clear5 Time-Release Tablets

(14 packets per box)

3 Box Supply - $29.95

9 Box Supply - $79.95

(100 tablets per bottle)

2 Bottle Supply - $29.95

6 Bottle Supply - $79.95

 

Shipping Information:

 

Your Name:

 

Street Address:

 

City:

State or Province:

Postal Code:

Contact Information:

 

Email:

Phone Number (optional) :

 

 

 

We will email you upon receiving your letter. Receipts are packaged in with your order.

 

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