LOHAS Institute
Online Order Form

You may print this order form to mail or fax to us. Fax orders to: 310-477-7656

Please check the boxes next to the items you wish to purchase.

Item

Description

Unit Price

QTY.

Total

#1010

"EGCG GREEN (100tablets, 300mg)"

$ 18.97

#1020

"EGCG GREEN (200tablets, 300mg)"

$ 35.00

#1030

"EGCG GREEN (300tablets, 300mg)"

$ 49.95

 

8.25% Tax (California residents only)

 
ORDER SUBTOTAL
 


Please select the appropriate shipping from the table below.

Shipping/Handling Costs/Estimated Delivery Time

Price

USPS First-Class Mail (For U.S. Shipments)

$   5.00

USPS Priority Mail (For U.S. Shipments) 2 days

$   7.00

USPS EMS (For Non-U.S. Shipments) 4-6 days including weekends

Starting at $ 15.00

USPS Air (For Non-U.S. Shipments) 6-8 working days

Starting at $   6.90

USPS SAL (For Non-U.S. Shipments) 8-10 working days

Starting at $   4.80


Notice: For more than 10-bottle order and all Non-US shipments, we will email you final shipping amount after we receive your oder.


Please provide your contact and shipping information.
IMPORTANT NOTE: This is the person and location that this order will be shipped to.
Customer Name:

Street Address:

City, State, Zip Code:

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Country:

Phone Number:

Fax Number:

Email Address:

Bill my credit card for these purchases.

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Credit Card Number:

Expiration Date:

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Card Holder's Name:


Copyright © 2007-2008 by LOHAS Institute

LOHAS Institute
11150 W. Olympic Blvd., STE 1080,
Los Angeles, CA, 90064-1840
Fax: 310-477-7656
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