Name:
Street:
City:  State:   Postal Code: 
Country:
Phone:
Fax:
E-Mail:
Credit Card#:  Exp. Date: 
VISA MASTER CARD
Stock # Product Price Qty Total
x =
x =
x =
x =
x =
x =
Shipping & Handling:
(See below)
Grand Total:
Note: Our shipping charges range from $3.50 to $7.50 for regular prices, depending on the quantity and weight of the items ordered. Your initial shipping charges are $7.50 for this order, and will be adjusted to a lower amount as necessary.

To qualify for discount prices, the grand total must be at least $4000, which will establish your wholesale membership account.  There are no shipping charges for the first wholesale purchase.  Click here for more information about wholesale memberships.

 
Fax or phone your order to:
 270-682-0759
Orders may be mailed to: Dr. Rita Louise, ND
6370 LBJ Frwy. #273, Dallas, TX 75240

If sending a check or money order, please
make it payable to Dr. Rita Louise, ND.

For any questions or comments concerning your order,
or if you experience any difficulties, please contact us.

All prices are subject to change without notice.
Orders paid by Money Order will be shipped upon receipt of payment.

If you choose to pay by check, your order will be shipped after your check is cleared
by our bank.  Therefore, please allow at least two weeks for your order to arrive.