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LIFE PLUS Product Order Form

TELEPHONE: 1-800-572-8446 (International: 1-870-698-2311)
FAX ORDERS: 1-800-959-2777 (International: 1-870-698-2379)
P.O. Box 3749, Batesville, Arkansas 72503


ORDERING INFORMATION

By Fax: Print this form, complete it, then fax to 1-800-959-2777 (International 1-870-698-2379).

By Phone: Call 1-800-572-8446 (International 1-870-698-2311), 8 AM to 10 PM CT, Monday thru Friday. Please have your LIFE PLUS™ PIN, product number(s), and credit card ready.

By Mail: Print this form, complete it, and then mail it with payment to: LIFE PLUS™, P.O. Box 3749, Batesville, Arkansas 72503.


If this is your first time ordering Life Plus products, your sponsor is SANDI QUILES - PIN 362203

Your PIN: _________________________ (Leave blank if this is your FIRST order)

Sold To: _________________________________________

Address: _________________________________________

City: _______________________ State/Province: ________________ Zip: _______

Country: ________________________

Phone: ______________________ FAX: ___________________________

Date: _______________________ e-mail: _____________________________________


Life Plus Wholesale Price List & Order Form
Please enter the quantity for each desired item:
  • _____ 6121 - Anti-Stress Formula - $37.00 for 240 tablets (IP = 30.00)
  • _____ 6114 - Bone Builder - $29.50 for 120 tablets (IP = 24.50)
  • _____ 6104 - Brain Formula - $49.50 for 180 tablets (IP = 40.00)
  • _____ 6105 - CalMag Plus - $18.75 for 300 tablets (IP = 16.00)
  • _____ 4040 - Cat's Claw Plus - $28.55 for 60 tablets (IP = 22.00)
  • _____ 6133 - Circulation Formula - $25.00 for 180 tablets (IP = 20.00)
  • _____ 1945 - Colloidal Silver - $26.50 for 4 fl oz bottle (IP = 22.50)
  • _____ 6109 - Colon Formula - $26.00 for a 25 oz bottle (IP = 22.00)
  • _____ 1012 - Co-Q-10 Plus - $41.50 for 60 tablets (IP = 35.50)
  • _____ 6132 - Daily BioBasics - $55.00 for 26 oz bottle (IP = 40.00)
  • _____ 4050 - Daily BioBasics Veggie Caps - $65.95 for 480 capsules (IP = 51.00)
  • _____ 6122 - Digestive Formula - $19.50 for 90 tablets (IP = 16.50)
  • _____ 6110 - DNA Immune - $37.50 for 120 tablets (IP = 30.00)
  • _____ 0210 - Endocryn DHEA - $25.75 for 90 tablets (IP = 22.00)
  • _____ 4033 - EPA Plus - $12.50 for 90 capsules (IP = 10.50)
  • _____ 6111 - Eye Formula - $15.00 for 60 tablets (IP = 12.00)
  • _____ 6116 - Feminine Balance - $35.50 for 180 tablets (IP = 28.50)
  • _____ 6112 - Forever Young - $45.00 for 60 tablets (IP = 40.00)
  • _____ 6107 - Heart Formula - $57.75 for 300 tablets (IP = 49.00)
  • _____ 6113 - Joint Formula - $21.00 for 120 tablets (IP = 17.00)
  • _____ 6115 - Lung Formula - $13.00 for 60 tablets (IP = 10.50)
  • _____ 6108 - Lyprinex - $36.00 for 60 capsules (IP = 25.50)
  • _____ 6140 - Micro-Mins Plus - $26.50 for 60 tablets (IP = 22.50)
  • _____ 6127 - MSM Plus - $26.50 for 240 tablets (IP = 22.00)
  • _____ 1021 - MSM Plus Lotion - $12.75 for 8.5 fl ounces (IP = 10.00)
  • _____ 6117 - Paracleanse - $22.00 for 180 tablets (IP = 18.00)
  • _____ 6106 - Phase'oLean Forte - $35.00 for 180 tablets (IP = 28.00)
  • _____ 6190 - Proanthenols 50 - $91.50 for 240 tablets (IP = 78.00)
  • _____ 6191 - Proanthenols 50 - $24.50 for 60 tablets (IP = 21.00)
  • _____ 6192 - Proanthenols 100 - $45.50 for 60 tablets (IP = 40.00)
  • _____ 6118 - Prostate Formula - $22.00 for 120 tablets (IP = 17.00)
  • _____ 6099 - SlenderLean - $55.00 for 90 tablets (IP = 44.00)
  • _____ 6141 - Somazyme - $29.00 for 120 tablets (IP = 20.00)
  • _____ 6136 - Super Shake Chocolate - $27.95 for 18.4 oz bottle (IP = 20.00)
  • _____ 6137 - Super Shake Vanilla - $27.95 for 17.8 oz bottle (IP = 20.00)
  • _____ 6102 - TVM-Plus - $19.00 for 180 tablets (IP = 15.50)
  • _____ 6120 - Vita-C-Plus - $18.00 for 300 tablets (IP = 15.50)
  • _____ 4053 - Vita-E-Complex - $19.95 for 90 capsules (IP = 15.00)
  • _____ 6194 - Vita-Saurus - $19.75 for 240 tablets (IP = 17.00)
  • _____ 6134 - Wonder Gel - $19.50 for 3.9 fl oz tube (IP = 16.50)
  • _____ 6124 - Xtra Antioxidants - $38.50 for 120 tablets (IP = 31.50)


Total Cost of Order: ________________ (including shipping and tax)

Method of Payment
(please do not send cash)

                         Please Check the Appropriate Option:

           ___ Phone Check          ___ MasterCard          ___ Discover

           ___ Money Order          ___ American Express

           ___ Cashier's Check      ___ Visa
Credit Card Number: ______________________________

Card Expiration Date (month/year): ____/____

Name exactly as it is on the Card: ______________________________

Signature: ______________________________

  • Shipping is UPS Ground within the United States.
  • International shipping is via Air Parcel Post.
  • Actual cost of shipping will be added to all orders.
  • If paying by check or money order, please contact Life Plus to obtain payment total.
  • A local sales tax (where applicable) will be added to all U.S. orders.
  • GST Tax of 7% will be added to Canadian orders.
  • NOTE: All Life Plus products come with a 30-day unconditional money back guarantee.


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