New Formula-One Diet Pills Mail Order Form

Fill out this form, PRINT IT (Ctrl+P) and   Mail to:
SAM National
111 Anvil Court
Weatherford, TX. 76088-3854
1 90 ct. Bottle $29.99 4 Bottles $100.00 ($25.00 ea.)
2 Bottles $56.00 ($28.00 ea.) 5 Bottles $120.00 ($24.00 ea.)
3 Bottles $78.00 ($26.00 ea.) 10 Bottles $230.00 ($23.00 ea.)

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Exp. Date: (MM/YY)
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*If you wish conformation when New Formula-One is mailed.


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New Formula-One from SAM National


© revised 11/28/11