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Balanced Resources Mail-In Order Form

PLEASE COMPLETE ENTIRE FORM AND PRINT A COPY


DHEA 50mg / 60 capsules per bottle


Select 1, 2 or 3 bottles:
$16.49 @ bottle

Type in number if ordering 4 or more bottles:
$14.99 @ bottle



DHEA 25mg / 90 capsules per bottle


Select 1, 2 or 3 bottles:
$12.49 @ bottle

Type in number if ordering 4 or more bottles:
$10.99 @ bottle


Melatonin 3mg / 60 capsules per bottle


Select 1, 2 or 3 bottles:
$7.49 @ bottle

Type in number if ordering 4 or more bottles:
$6.49 @ bottle

Shipping and Handling Costs
1 to 4 bottle(s) total, add $3.99
More than 4 bottles, $3.99 + $0.50 for each bottle over 4
Example: 6 bottles = $3.99 (S&H for 4 bottles) + $1.00 (S&H for 2 bottles) = $5.99

Insert Shipping and Handling Costs Here: $

Please insert Total here, including product and S&H costs: $

Complete the following "Shipping" Information
Name
Address
Town
State
Zip

Mail This Form Along with Check or Money Order To:
BALANCED RESOURCES
PO BOX 820
LAFAYETTE, OR 97217-0820

US Orders Only

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