MiracleslimWrap™

Fax Order Form (US ONLY)
Click HERE to PRINT THIS PAGE

Please print and fill out this form completely and fax it to: (888)-610-5761
 
6 Miracleslimwrap™ -  SAVE $70  (FREE SHIPPING**) $349.99
 
5 Miracleslimwrap™ -  SAVE $50 $299.99
 
4 Miracleslimwrap™ -  SAVE $30 $249.99
 
3 Miracleslimwrap™ -  SAVE $15 $194.99
 
2 Miracleslimwrap™ -  SAVE $5 $134.99
 
1 Miracleslimwrap™ $69.99
Shipping Information:
Name:
  
Address:
  
City/State/Zip:
  
Telephone:
  
Email Address:
  
Amount Enclosed:
Write in the amount for the number of MiracleslimWraps you chose:
 $

Shipping and Handling:
 $7.95 Standard  3-7 business days
 $11.95 Priority   2-3 business days
 $22.95 Express 1-2 business days

$
TOTAL ORDER IN US DOLLARS:
 $


Payment Details:

Type of Credit Card:
 
Visa
 
Mastercard
 
Discover
 
American Express
Credit Card Number:
Expiration Date:
_______Month      _______Year
Security Code:
(3 or 4 digit number on back of card)
Signature: