Scott Levine Ultimate Skin Care™
ORDER FORM
7350 Sandlake Commons Blvd. STE 2217
Orlando, FL 32819
Phone 407-354-0001 Fax 407-363-9538
Phone Order ONLY 1-800-641-2907
|
PRICE |
QTY |
TOTAL |
Dr. Levine’s Ultimate Anti-Aging Day Cream™ |
$59.99 |
|
|
Dr. Levine’s Ultimate Youth Restore Night Cream™ |
$59.99 |
|
|
Bonus Buy Combination Day and Night Cream |
$109.95 |
|
|
Ultimate Sun Block |
$19.99 |
|
|
SHIPPING & HANDLING Buy Three and Shipping and Handling is FREE* |
PRICE |
QTY x $8.99 |
TOTAL |
$8.99 ea. item |
|
|
PAY BY CHECK:
Mail this form with check or credit card info or fax form with credit card info to:
Physicians Direct®
7350 Sandlake Commons Blvd. Suite 2217
Orlando, FL 32819 Fax to 407-363-9538
Please make check payable to Physicians Direct®
PERSONAL INFORMATION:
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