ORDER FORM FOR TEBS TOTAL EYE & BODY SUPPORT
AND TEBS-EYE FORMULA FOR MACULA SUPPORT VITAMINS
1) To order By Phone: Call 1 (727) 944 - 4103
2) Charge to your *credit card. We accept (Visa, MasterCard or Discover.)
3) To order on line: Please visit www.tebsvitamins.com
4) To order By Mail: Please send your check, money order, or
Your *credit card information with this reorder form to:
R.K. Khodian Enterprises, Inc.
43309 US Hwy19 North
Tarpon Springs, FL 34689
NAME: _______________________________________________________
ADDRESS: ____________________________________________________
CITY, STATE, & ZIP CODE: ________________________________________________
TELEPHONE NUMBER: (________) _________ ____________________________
CREDIT CARD # ______________________________________ EXP._____________
Signature: _____________________________________________________________
*R.K.KHODIAN ENT. Will appear on your credit card statement for purchase of TEBS Vitamins.
____1 bottle 180 tablets...$35.00 ____2 bottles 180 tablets...$62.00 ____ 3 bottles 180 tablets....$90.00
____4 bottles 180 tablets.....$116.00 ____5 bottles 180 tablets...$140.00 ____6 bottles 180 tablets...$162.00
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TEBS-EYE FORMULA FOR MACULA SUPPORT (3 Months supply)
___1 bottle M.S. 180 tablets $37.00 ___ 1 bottle M.S. Smokers $35.50
___2 bottles M.S. 180 tablets $68.00 ___ 2 bottles M.S. Smokers $66.00
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