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Acne-Vitamins.com Mail Order Form
Please fill out this form in full, then print and send to:
Acne-Vitamins.com Mail Order 10901 Brighton Bay Blvd. 7303 St. Petersburg, FL 33716
*Mail orders must be to US or Canadian addresses. *Prices already include shipping ($5.95 Priority Mail/Airmail, delivers in 3-7 days)
Include a check or money order payable to Acne-Vitamins.com for:
Clear5 single bottle - $20.94 Clear5 2-bottle supply - $33.94 Clear5 6-bottle supply - $81.94 (For B-Complex - add $10.99)
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Shipping Information:
Your Name:
Street Address:
City:
State or Province:
Postal Code:
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Contact Information:
Email:
Phone Number (optional) :
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We will email you upon receiving your letter. Receipts are packaged in with your order. |
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