Printable Order Form

Fill in all of the contact information, the quantity you wish to order and the totals of each line and bottom. Add the correct shipping according to the chart below and print the completed form. Mail form along with check or money order to the address below.

Please type in the information below before you print. It's much easier to read and will help eliminate errors. Thanks

First Name

Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Home Phone

E-mail

 Mail Check and Form To:  Jade Enterprises

			  3804 39th Ave. W.

			  Bradenton, Fl. 34205

Item	Quantity	Retail Price	Total
AM-5000 80 ct		$52.00
AM-5000 60 ct		$40.00
AS-300 90 ct		$40.00
AS-300 120 ct		$52.00
AS-200 90 ct		$36.00
Balance Cream 2.5 oz		$29.00
Calcium 90 ct		$40.00
Chlorella 150 ct		$36.00
Co-Clenz 60 ct		$30.00
Digest-Eze 90 ct		$38.00
Estronol 90 ct		$43.00
Fiber-Clenz 120 ct		$36.00
Gold Plus 60 ct		$36.00
Kelp Enhanced 60 ct		$36.00
MSM Complex7 7.6 oz		$36.00
Nature Flex 90 ct		$40.00
Omega3 Fish Oil 30 ct		$34.00
Pillar of Youth 120 ct		$48.00
Prime One 33.8 oz		$45.00
Prime One Concentrate 1.06 oz		$45.00
Prosta Clear 60 ct		$30.00
Shark Cartilage 60 ct		$36.00
Spark of Life 32 oz		$52.00
Toppfast - Chocolate 1.5 lb		$45.00
Toppfast - Vanilla 1.5 lb		$45.00
Vital Chelates Plus 150 ct		$65.00
Add Shipping		Subtotal:
$00.01 to $30.00 - add $6.50
$30.01 to $60.00 - add $7.50
$60.01 to $90.00 - add $8.50
$90.01 to $120.00 - add $9.50
$120.01 to $230.00 - add 7.5%
$230.01 and Up - Free		Add Shipping:
		Total: