Order Form
Click here to print
Please note: All prices in $US dollars & GBP
| Product | Code | Price $ | Price £ | Quantity | SubTotal |
| 10 PowerPills Fe-3 | 1001 | US$41.00 | £23.00 | ______ | ____________ |
| 10 x10 Powerpills Fe-3 | 1010 | US$385.00 | £220.00 | ||
| ______ | ____________ | ||||
| Freight: |
US$10.00 |
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| TOTAL: |
____________ |
Delivery Details
Name: |
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| Street: | ||
| Town/City: | ||
| State/Province: | ||
| Country: | ||
| Zip/Post Code | ||
| Phone: | ||
| FAX: | ||
| e-Mail: |
Please print this form and post, along with your cheque to:
Make cheque & P/O Payable to C.HAYBALL
PowerPill
C/- Chris Hayball
2 Meadow View
Holmewood
Chesterfield
S42 5UL
United Kingdom
Phone Intl: +44 (0) 1246856153
Thank You!
Your order will be shipped as soon as the funds are cleared through our bank.