ORDER FORM - EW WELLNESS PRODUCTS, INC.
EW Wellness Products, Inc.
2578 Noriega Street
Number 203
San Francisco, CA 94122
TEL 415-681-1875
FAX 415-681-1184
EML ewwellness@sbcglobal.net
Note: Please be sure to use a secure network connection for emailing any charge card account numbers. Otherwise, FAX or mail this form.
Note: In order to keep the prices of our products as low as possible, EW Wellness Products, Inc., is NOT a multi-level marketing (MLM) company.
RETAIL PRICE LIST AND ORDER FORM
SOLD TO: SHIP TO:
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FAX: __________________________ FAX: __________________________
EMAIL: ________________________ EMAIL: ________________________
EW REF #: _____________________
This Reference Number aids in monitoring our advertizing efforts.
First Time Orders: Recommeded by: _________________________________
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ITEM DESCRIPTION Price/Unit QTY Total
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BE BRAIN ENHANCERTM
Available by Bottle $ 25.95 ___ ________
Cases (12 Bottles) Call for Volumne Discount
Cartons (6 Cases) Call for Volumne Discount
Other Herbal Products Available:
FORGOTTEN FOODS
AD 101 Travel Tea $45.00 ___ ________
AD 102 Resistant Tea $45.00 ___ ________
BD 203 Reproductive Tonic $45.00 ___ ________
WD 301 Regeneration Tea $45.00 ___ ________
BD 404 Detoxifying Tea $45.00 ___ ________
GT 701 Body Building Tea $45.00 ___ ________
Books written by Dr. Stephen T. Chang:
BOOKS
B1 The Integral Management of Tao:
Complete Achievement $29.95 ___ ________
B2 The Complete System of Self-Healing:
Internal Exercises $23.95 ___ ________
B3 The Great Tao $30.05 ___ ________
B4 The Tao of Balanced Diet:
Secrets of A Thin And Healthy Body $20.95 ___ ________
B5 The Tao of Sexology $24.95 ___ ________
MIRACLE SOAP PRODUCTS
MS1 Miracle Soap (22 oz) $16.00 ___ ________
MS2 Miracle Neutralizer (22 oz) $16.00 ___ ________
PA-KUA MEDALLION
PK1 Pa-Kua Medallion $35.00 ___ ________
WATER WANDS
WW1 Water Wand - 24/7 Basic Wand $60.00 ___ ________
SUBTOTAL ________
SALES TAX (CA Residents, add 8.5%) ________
SHIPPING and HANDLING (see below *) ________
TOTAL ________
VISA and MASTERCARD are accepted! Money orders are NOT accepted.
Use VISA or M/C: ___________
Card Number: ________________________________________________
Expiration Date: ___________
Name on Card: _______________________________________________
Orders will be sent after checks and charges have been approved.
* Shipping: Insurance included:
Books: $ 5.00 for 1, $2.00 for each additional book.
Bottles: $ 5.00 up to 4 bottles, $1.00 each additional.
$ 8.00 per case (12 bottles).
$40.00 per carton (6 cases).
Additional Herbal Products from Dr. Chang, not listed here,
are also available upon request.
Contact us for volume discount prices!