Ordering CT Cream By FAX 


Step 1.)  Print out this web page and fill in the necessary information. This form is also setup so you can fill in the fields first and then print it out. Either method is acceptable.

Step 2.) FAX the completed Order Form to: (858) 777-9100

Step 3.) We will confirm receipt of your order via e-mail.

Step 4.) Your order will ship within 1 Business Day.


Your Name:

Shipping Street Address:

City:

State/Province (if applicable):

Country:

Zip/Postal Code:

Your Daytime Telephone Number: (just in case there’s a problem with your order)

Your E-Mail Address (optional): (we will send you a confirmation when your order ships)

How Many Jars Of CT Cream Would You Like To Order?

Use Table Below To Determine The Total Value Of Your Order
Enter That Figure In This Box

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(e.g. $22.90)

Quantity U.S.A. Residents NON-U.S.A. Residents
1 Jar $22.90 ($19.95 + $2.95 S&H) $26.90  ($19.95 + $6.95 S&H)
2 Jars $40.85 ($37.90 + $2.95) $2.00 Discount $45.85 ($37.90 + $7.95) $2.00 Discount
3 Jars $59.80 ($53.85 + $5.95) $6.00 Discount $62.80 ($53.85 + $8.95) $6.00 Discount
4 Jars $73.75 ($67.80 + $5.95) $12.00 Discount $77.75 ($67.80 + $7.95) $12.00 Discount

* S&H = Shipping And Handling Costs

Payment Information

Credit Card Number:

Expiration Month:

Expiration Year:

Name As It Appears On Card:


FAX This Form To: (858) 777-9100

We will confirm receipt & shipment of your order via e-mail


Questions?... Call Us
Toll-Free In The U.S. & Canada: 1-800-541-3550
From Outside The U.S. 1-858-232-1900

 

What Is CTS?      What Is CT Cream?      Client Testimonials

Pricing & Ordering      Contact Us


Copyright © 1998-2006 Biomax Health Products, Inc.  All Rights Reserved.
Biomax Health Products, Inc. - USA

14844 Fisher Cove, Suite 200
Del Mar, CA  92014   •   U.S.A.
U.S. & Canada: 800-541-3550
Worldwide: 858-232-1900
info@ctcream.com