We conveniently accept all forms of payment including checks, money orders, etc. Personal checks normally take up to 2 weeks to clear. Send a cashier's check or a money order for faster turn-around time. Make all payments payable to CleavOnline.Com. You can also mail us your credit card information if you are worried about using it online as many people are.
|
Complete All Information, Print Form, Then Mail This Form To: | |||
|
P-D-T.Com | |||
|
Shipping Information | |||
|
Name & Shipping
Address: |
|||
|
Phone Number: |
|||
|
E-Mail Address: |
|||
|
Credit Card Information (If Paying By Credit/Debit Card) |
|||
|
Visa/MasterCard/Amex/Discover #: |
|||
|
Visa/MasterCard/Amex/Discover Expiration Date: |
| ||
|
Product Description | |||
|
Instant Clean Add-It-Ive |
|
||
|
Spike Additive |
| ||
|
Sub Solution |
| ||
|
Hair Follicle Shampoo |
| ||
|
Rescue Cleanse 16 oz. Detox Drink (Watermelon Flavor) |
|
||
|
Rescue Cleanse 32 oz. Detox Drink (Cran-Apple Flavor) |
|
||
|
Green Clean Apple Concentrate |
|
||
|
Ultra Wash (Saliva) |
|
||
|
Oral Clear Gum (Saliva) |
|
||
|
Single Test Panel |
|
||
|
Five Panel Test Kit |
|
||
|
Pre-Cleanse Herbal Formula |
|
||
|
Value Packs - |
+ $9.95 S&H | ||
|
Shipping Prices | |
|
Rush USA S&H OverNight USA S&H |
NON US Orders |
|
Rush S&H $14.95 / OverNight S&H $30 |
Add $40 for International S&H |
|
Total Cost (USD) Non US Orders: Add $40 for International S&H |
Can't print this form? Write us a note or email your name/address here and we'll send one to you!