Order Form

To order directly from me, please fill out the form and submit.
You can also call the toll free order line and place an order yourself.
(call between 6AM and 5PM PST)
1-800-748-4334 ID #41817701

No International orders with the order form

Orders arrive in about 
3-5 business days by DHL
 

  1. Please provide the following contact information:

    First Name
    Last Name
    Home Phone
    E-mail (for confirmation)
    URL (optional)
  2.  
    QTY Item Code
    (optional)

    Product Name
  3.  
    BILLING

    Credit Card
    Cardholder Name
    Card Number
    Verification Code
    (3 digit number on back of card)
    Expiration Date month/year
  4.  
    Products sent to PO Box, or APO's will be sent by Priority Mail only

    SHIPPING INFORMATION
    shipping fees within the U.S., are $7.95 
    for the first $100, and 5.75% for the balance* 
    Street Address
    Address 2 
    (Apt. #) 
    City
    State/Province
    Zip/Postal Code
    Country

     
    Additional comments or special instructions

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All information contained in these pages applies to the U.S. Compensation Plan, and to U.S. products only, and may not be valid outside the United States of America.  All logos, trademarks, and registered trademarks are property of Unicity International.

Contact Marilyn:
Email: herblst@earthlink.net