Order Form -
Please print and
fax to 212.557.5063 or Click on Shopping Cart Buttons
**Free Gift **RejuvenEyes® Eye Cream with purchase of two or more items **
MONDO-MER, Inc. Suite 114 •
333 East 43rd Street, New York, NY 10017
212.983.6383 • Fax 212.557.5063
Date: _________________ Phone: _____________________________
Name: ________________________________________________________________________
Address:__________________________________Town_____________State_______Zip
______
Payment by check or credit card:
Money Order or Check #_____________________ Made out to
Mondo-Mer, Inc.
Credit Card Info-Circle One-Visa/Mastercard/Amex:
_________________________ Ex _____/_____
Product |
Size |
Price |
20%
OFF
SALE |
Qty |
|
Total |
Shopping
Cart |
Hi -Power Capsules |
180 |
$52.00 |
n/a |
_____ |
_____ |
|
Ultra Rejuvenex® |
2 oz |
$52.00 |
$41.60 |
_____ |
_____ |
|
Ultra RejuveNight® |
2 oz |
$39.00 |
$31.20 |
_____ |
_____ |
|
Ultra RejuvenEyes® |
.5 oz |
$24.95 |
$19.96 |
_____ |
_____ |
|
Rejuvenex® Body Lotion |
6 oz |
$24.00 |
$19.20 |
_____ |
_____ |
|
RejuveneX® Factor |
1.7 oz |
$65.00 |
$52.00 |
_____ |
_____ |
|
Original Rejuvenex® |
2 oz. |
$45.00 |
$36.00 |
_____ |
_____ |
|
| |
|
|
|
Sub Total |
_____ |
|
| |
|
|
|
Shipping |
_____ |
|
| |
|
|
|
Total |
_____ |
|
Shipping and Handling Charges
Add $7.60 for ground UPS • Add $7.60 for ground UPS (Outside
of NY)
Add $16.80 for second day air and check here:_____
Thank You For Your
Purchase
We will contact you to confirm your order. |
