Name:______________________________________________________________ Company/Organization:_________________________________________________ Billing Address:_______________________________________________________ ___________________________________________________________________ City:_____________________ Province/State:_________ Postal Code:__________ Shipping Address (if different): __________________________________________ ___________________________________________________________________ ___________________________________________________________________ City:_____________________ Province/State:_________ Postal Code:__________ Daytime Telephone Number: (_______)___________________________________ Facsimile Number: (_______)___________________________________________ E-Mail Address*:______________________________________________________ *Email is our primary form of communication with our customers. Your personal information is always kept confidential. Item Number Quantity Title Auto Ship Program Price Total Price (30,60,90 Days) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Merchandise Total ______________ Payment type: Visa MasterCard American Express Discover Money Order Your credit card number (please print all digits) ____ ____ ____ ____ - ____ ____ ____ ____ - ____ ____ ____ ____ - ____ ____ ____ ____ (Your credit card will be charged only for products that are shipped including shipping and handling fees). Print Name: ____________________________________________________ Signature: ______________________________________________________ Make money orders payable to VitaPal.com. Please note that Express Shipments (2nd Day Air & Next Day Air) can not be sent to PO Boxes, APO's and/or FPO's. Unfortunately, UPS does not offer these types of shipping options and we can only use USPS standard shipping for packages going to these addresses. All orders processed with Express Shipping options going to PO Boxes, APO's and/or FPO's will automatically be shipped with standard ground shipping. Express Shipping Options & Pricing
Express Shipping Options & Pricing (Standard Orders under 10 lbs)
Express Shipping Options & Pricing (Special Orders over 10 lbs)
Please Note: These are express shipping options that are applied after an order is processed. Orders typically require 1 to 7 business days to be processed. Orders weighing over 25 lbs can not be processed online with express shipping options (standard shipping only). Please call us at 1-800-909-4759 for express shipping price estimates & to place your order. Thank you. $7.95 Flat Rate Shipping on Orders under $100 (up to 10 lbs) Flat Rate Shipping Pricing (Special Orders over 10 lbs)
Special Shipping Rates for Hawaii, Puerto Rico and AE
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