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Order Form |
mail to: Inspired |
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Note: the prices
include customs clearance to |
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Ship to: Phone Number ( ) ______________________________ |
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DATE |
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PHONE: |
Credit Card Number |
circle one: |
Exp.date |
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Visa / MasterCard / cheque |
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QTY. |
Product DESCRIPTION |
UNIT PRICE |
TOTAL |
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PASCALITE - 16 oz Dispenser |
$ 29.95 |
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PASCALITE - 8 oz Dispenser |
$ 19.95 |
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PASCA-DENT tooth powder 6 oz Dispenser |
$ 19.95 |
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PASCALITE Capsules (100) |
$ 29.95 |
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PASCA-PAK poultice 6 oz |
$ 19.95* |
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PASCA-Balm ointment 6 oz |
$ 19.95* |
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PASCA-Glow soap 4 oz |
$11.95* |
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MORE PRECIOUS THAN GOLD (Pascalite history by Ray Pendergraft) |
$ 25.95 |
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NON-PASCALITE PRODUCT: Wolfgang's Oleo MenthaÔ (essential oil - fast acting pain killer for arthritis and migraine pain; external application - 100% money back guarantee) |
$ 19.95 |
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SHIPPING & HANDLING: Calculate $9.95 for BC and AUTHORIZED SIGNATURE FOR CREDIT CARD CHARGE: _____________________________________ TOTAL DUE |
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*enter only for soap/balm/pack/Oleo shipment in |
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Inspired Creations is not
prescribing, diagnosing or in any way giving medical advise.
For professional health service see your primary health care provider.
We love Pascalite !
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For orders within the or money order in US-funds to: Pascalite Inc., phone: (307) 347-3872 for US price structure. |