http://www.vision-usaonline.com/

Order Form -- Vision Products

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Send Order to:
Hamilton Global Management

8103 104th St., S.W.
Lakewood, WA 98498 USA
Tel.  (253) 588-4149
Fax:  (253) 588-4366
E-mail:  vision.usa.org@gmail.com
Instructions:   Please print this form and complete it by hand or typewriter.   Then fax, mail, or phone the form to us to place the order.  This method protects your credit card and personal information from theft over the Internet.  All orders shipped from the USA within 24 hours of receipt of payment.

Site Closed.  Orders No Longer Being Accepted.

Items You Wish To Order:  

Check Items to Order


Product Name

Quantity
(bottles)

Unit
Price

Total
Price

[   ] Aktivy

XXXX

XXXX

XXXX

[   ] Antiox+

XXXX

XXXX

XXXX

[   ] Artemida

XXXX

XXXX

XXXX

[   ] Artum

XXXX

XXXX

XXXX

[   ] Beauty

XXXX

XXXX

XXXX

[   ] Beesk

XXXX

XXXX

XXXX

[   ] Brain-O-Flex

XXXX

XXXX

XXXX

[   ] Cheviton

XXXX

XXXX

XXXX

[    ] ChromeVital+

XXXX

XXXX

XXXX

[    ] Cupers

XXXX

XXXX

XXXX

[    ] Detox+

XXXX

XXXX

XXXX

[    ] Hiper

XXXX

XXXX

XXXX

[    ] Lamin 

XXXX

XXXX

XXXX

[    ] Lifepac Junior+

XXXX

XXXX

XXXX

[    ] Lifepac Senior

XXXX

XXXX

XXXX

[    ] Medisoya 

XXXX

XXXX

XXXX

[    ] Mega

XXXX

XXXX

XXXX

[    ] Mistik

XXXX

XXXX

XXXX

[    ] Nortia

XXXX

XXXX

XXXX

[    ] Nutrimax+

XXXX

XXXX

XXXX

[    ] Passilat

XXXX

XXXX

XXXX

[    ] Pax+ Forte

XXXX

XXXX

XXXX

[    ] Revien

XXXX

XXXX

XXXX

[    ] Sveltform+

XXXX

XXXX

XXXX

[    ] Ursul

XXXX

XXXX

XXXX

[    ] Vinex

XXXX

XXXX

XXXX

         

Subtotal 

XXXX

Washington State Sales Tax (WA residents only - 8.90%) 

XXXX

Promotion Coupon (Enter number):

XXXX

Shipping (North America) .  Other regions, inquire  

XXXX

Total 

XXXX