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| Vitacorp International Food Supplements For A Better Life |
| Qty | Item # | Product Name | Price | Total |
 | _____ | 100 | Vita-Che | 59.95 ea | __________ |
 | _____ | 105 | Vi-Gest | 24.95 ea | __________ |
 | _____ | 111 | Cold & Flu Support | 26.95 ea | __________ |
 | _____ | 110 | Capsicum | 9.95 ea | __________ |
 | _____ | 112 | C Crystals | 19.95 ea | __________ |
 | _____ | START | Starter Pack, 1 each of the above 5 products and Become a Member | 179.00 ea | __________ |
 | _____ | 910 | Vita-Che Case, 5 pack plus 1 free | 299.75 ea | __________ |
 | _____ | 122 | Taheebo Tea | 9.95 ea | __________ |
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 | _____ | 107 | Coral Calcium + with EnZact 77k® | 19.95 ea | __________ |
| _____ | 900 | Coral Calcium + with EnZact 77k® 12 Pack, Buy 10 and get 2 free | 199.50 ea | __________ |
 | _____ | 106 | Beta Carotene | 9.95 ea | __________ |
 | _____ | 113 | C Chewables | 11.95 ea | __________ |
 | _____ | 124 | Co-Enzyme Q10 | 29.95 ea | __________ |
 | _____ | 103 | CellRich®, Super Antioxidant | 13.95 ea | __________ |
 | _____ | 402 | Cough Syrup | 9.95 ea | __________ |
 | _____ | 116 | Garlic Super Potency | 11.95 ea | __________ |
 | _____ | 119 | GluCare®, Blood Sugar Support | 19.95 ea | __________ |
 | _____ | 117 | Herbal Calming | 11.95 ea | __________ |
 | _____ | 403 | Naturflex®, Joint Support | 39.95 ea | __________ |
 | _____ | 408 | Omega III EPA/DHA | 19.95 ea | __________ |
 | _____ | 409 | Phospholipids | 9.95 ea | __________ |
 | _____ | 102 | Primalux Vitamin / Mineral Complex | 15.95 ea | __________ |
 | _____ | 104 | Vita-Greens, Green Food Supplement | 22.95 ea | __________ |
 | _____ | 118 | Vitamarin ®, Liver Support | 19.95 ea | __________ |
 | _____ | 108 | VitaMen, Prostate Health | 39.95 ea | __________ |
 | _____ | 115 | Vitamin E with Selenium | 16.95 ea | __________ |
 | _____ | 101 | VitaOne®, Multi-Nutrition Pack | 39.95 ea | __________ |
 | _____ | 920 | VitaOne® 10 pak (Buy 8 get 2 free) | 319.95 ea | __________ |
 | _____ | 109 | VitaWoman, Feminine Support | 39.95 ea | __________ |
| Subtotal | __________ |
| 7.05% Sales Tax | __________ |
| Postage | __________ |
| Total Amount Enclosed | __________ |
| Shipping/Handling: $3.00 for 1st item, Add $1.00 for each additional item. |
| Circle One:_____Check_____Money Order_____Visa_____Mastercard |
| E-mail:__________________________________________________________________________ |
| Phone:_________________________________________________________________________ |
| Name:__________________________________________________________________________ |
| Address:________________________________________________________________________ |
| City, State & Zip:________________________________________________________________ |
| Credit Card #:___________________________________________________________________ |
| Expiration Date:___________________________________________________________________ |
| Signature:______________________________________________________________________ |
| Thanks for Ordering! We Appreciate Your Business! |