Total Health
Order Form
www.totaldiscountvitamins.com 1-800-283-2833
Mail To: Total Health, 120 Broadhollow Rd Ste 1, Farmingdale, NY
11735 (make checks payable to “Total Health”)
Fax To: Seven Days a Week 24 Hrs a
Day to (631)
293-3009 |
ORDERED BY AND SHIP TO:
Name:_______________________________________________________________________
Street
address:_________________________________________________________________
City:_____________________________________ State
__________Zip____________________
Day phone:___________________ Evening Phone ___________________ E-Mail:______________________
| Cat# | Qty. | Product &
Size | Price
Each | Total |
| | | | | $ |
| | | | | $ |
| | | | | $ |
| | | | | $ |
| | | | | $ |
| | | | | $ |
| | | | | $ |
| | | | | $ |
| | | | | $ |
Additional Postage:- UPS Second Day Air $15.95 (contiguous 48 states – 5 lb max – does not include Hawaii, Alaska or Puerto Rico)
- UPS Saturday Delivery – $28.45 (contiguous 48 states – 5 lb max – does not include Hawaii, Alaska or Puerto Rico)
- UPS 3 Day Select – $9.95 (contiguous 48 states – 5 lb max – does not include Hawaii, Alaska or Puerto Rico)
- Alaska, Hawaii or Puerto Rico $8.95 (USPS Priority)
| Subtotal | $ | Shipping and Handling | $6.95 | Additional
Postage | $ | Total | $ |
|
Method of Payment: check______ Visa_______ Master card_____
Discover_____
Credit Card Acc# _________________________________________________ exp.
date__________
for credit cards please Sign
X__________________________________________________________
CCID#:_________________ For your protection, we ask that you enter an extra 3-4 digit number called the CCID. (It may also be referred to as a CVV2 or CVC2 code.) The CCID is NOT your PIN number. It is an extra ID printed on your Visa, MasterCard, Discover, or American Express Card.
Visa, MasterCard, and Discover: On the back of the card in the top-right corner of the signature box. Enter the three-digit number following the credit card number.
American Express: On the front of the card. Enter the four-digit number on the right directly above the credit card number.
If you have any question or would like to place an order, call Total
Health seven days a week M-F 9am to 8pm Sat/Sun 9am to 6pm (EST). Our friendly staff are here to
serve you, just call our toll free 1-800-283-2833 or (631) 293-3001. For
orders on Visa, Master Card or Discover, have your card number,
expiration date and ccid# ready.
To order by mail: Print this form. Please provide all information.
Payment can be made with personal check*, money order, or credit card.
Personal checks-allow 10 business days to clear. Make Checks payable to
Total Health Inc. Not responsible for typographical errors. Total Health
reserves the right to substitute products of equal or greater value.
If you would like to mail in order form our address is as follows: Total Health, 120 Broadhollow Rd Ste 1, Farmingdale, NY 11735
Non US orders will be quoted on an order by order
basis – please e mail for quote
Import restrictions, fees, duty, tariffs, and or
taxes will be the responsibility of the purchaser.
