Order Form

OPTIMOX
205 Avenue I Ste 28, Redondo Beach, CA 90277-5619
Phone: 800 223-1601
Fax: 310 618-8748
www.optimox.com

 

CONSUMER ORDER FORM

 
IODORAL® OPTIVITE® PMT GYNOVITE® PLUS MAG-200 ATP COFACTORS ANDROVITE® FOR MEN
ProductSale PricesQuantity

Total Cost

IODORAL®
90 tablets $21.73/bottle
   
IODORAL®
180 tablets $39.93/bottle
   
IODORAL® IOD-50
30 tablets $26.36/bottle
   
IODORAL® IOD-50
90 tablets $67.10/bottle
   
OPTIVITE® PMT
Bottle of 180 tablets
1-5 bottles $20.76/bottle
6+ bottles $19.72/bottle
   
GYNOVITE® PLUS
Bottle of 180 tablets
1-5 bottles $20.76/bottle
6+ bottles $19.72/bottle
   
MAG-200
Bottle of 120 tablets
1-5 bottles $11.97/bottle
6+ bottles $11.37 bottle
   
ATP COFACTORS
Bottle of 90 tablets
1-5 bottles $19.97/bottle
6+ bottles $18.97/bottle
   
ANDROVITE® FOR MEN
Bottle of 180 tablets
1-5 bottles $20.76/bottle
6+ bottles $19.72/bottle
   
[ ] UPS [ ] UPS Next Day* [ ] UPS 3-Day*
[ ] USPS Mail** [ ] UPS 2nd-Day* [ ] COD $11.00
     
*Available for extra cost
**For PO boxes only
CA residents add
9% sales tax
 

COD

 
Shipping $6.00
TOTAL  
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