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Mail this order form WITH PAYMENT
to:
 Credit Card ___________________Exp__/__
Check
or money order is enclosed
Ship
C.O.D ($8.00) extra |
Omega Life, Inc.
P.O. Box 7
Muskego, WI 53150-0007
Questions Call 1(800)328-3529 |
YOUR MAILING ADDRESS/PHONE
Name: ___________________________________ Address: ________________________________
City, State, Zip: _______________________
Phone:(___) _____________________________
Ship via U.S. Mail instead of UPS |
SHIPPING ADDRESS (If different)
PLEASE INCLUDE STREET OR ROAD
Ship To: __________________________
In Care of: _______________________
Street Address: ___________________
City, State, Zip: _________________
 |
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PRODUCT AND DESCRIPTION
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QUANTITY
UNIT/CASE |
PRICE PER
UNIT OR CASE |
TOTAL
PRICE |
| FORTIFIED FLAX - Food
and Beverage Mix is naturally rich in OMEGA-3, FIBER, and PROTEIN! Ingredients:
Ground Organic flax seed, fortified and stabilized with zinc, "Yeast-Free"
vitamin B-6, vitamin E(Alpha-Tocopherol) and vitamin C. |
|
$7.50
1 lb. pouch |
= |
| |
$180.00
case(24) |
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| POWER PACK ENERGY DRINK MIX
- Formulated for sustained energy and quicker recovery from exercise. Ingredients:
Fortified Flax (see above), oat bran, barley, lecithin, and beta-carotene.
Mix with any beverage or food. |
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$6.50
1 lb. pouch |
= |
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$156.00
case (24) |
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OMEGA BAR - Our fruit and
fiber energy bar fills you up and keeps you going with 3200 mg of Omega-3
and 6 grams of fiber! Ingredients: Fortified Flax (see
above), brown rice syrup, raisins, apricots, bananas and dates.
New! - Larger 2 oz. bar |
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$1.89/bar |
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Save $2.00
$32.00
Tray (18) |
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Send me ____ order forms for me, my friends or relatives.
Send me ____ Information Packs for me, my friends & relatives
Send no literature. Just send one order form for my next order. |
SUBTOTAL(lines 1, 2, 3) |
$ |
| SHIPPING AND HANDLING* |
$ 5.95 |
| IF C.O.D. ADD $8.00 |
$ |
Special Instructions* ____________________
__________________________________________ |
TOTAL AMOUNT DUE |
$ |
| *The customer is responsible for any additional
shipping charges, such as express delivery or shipment outside the 48 states.
Please call 1(800) 328-3529 or 1(262)679-9850 for details. Prices
are subject to change without notice. |
| PRINT the name and address below of anyone
you'd like us to send free information to; or the name and
address or phone number of any health food store, natural food store, health
professional or individual where you'd like to see our products. |
Name: ________________________________
Address: _____________________________
City, State, Zip: ____________________
Phone:(___) __________________________
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Name: _____________________________
Address: __________________________
City, State, Zip: _________________
Phone:(___) _______________________ |
| Dear Omega-Life Customer: If any of our
products have significantly helped your health, please write to us!
Your health is very important to us, so we always appreciate your testimonials.
Please share your "success story" with us, mail to: |
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Omega-Life Testimonials - P.O. Box 7 - Muskego, WI 53150-0007
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