Fax

Century Systems Inc. RETAIL Order Form
Effective
JAN 2008
Call to Order
24 Hours
a Day
1-800-THE-WOMAN
Fax Orders to: 404-696-2480
Call to Order: 1-800-843-9662
Name___________________________________________________________________________
Address_________________________________________________________________________
City_________________________ St______ Zip__________ Ph (______) ______-____________
Ship to:(If different from above)________________________________________________________________________________
DESCRIPTION
ITEM#
RETAIL EACH
Quantity
TOTAL
THE CLEANER® The Ultimate Body Detox
2707
2807
2714
2814
Men’s 7-Day
Women’s 7-Day
Men’s 14-Day
Women’s 14-Day
17.95
17.95
29.95
29.95
VITAROL® The Multi-Vitamin You Can Feel (150 Capsules)
2830
2831
2000
746
721
771
772
760
Vitarol® Men’s Formula
Vitarol® Women’s Formula
39.95
39.95
MIRACLE 2000® 32oz - 32 Day Supply
All-In-One Nutritional Blend
30.00
HEART MIRACLE ® 32oz Heart, Blood Pressure and Cholesterol
36.95
HEART
MIRACLE ® CAPSULES Heart, Blood Pressure & Cholesterol
7
Wonders®
7
Wonders®
MIRACLE
39.95
LOTION ®
MIRACLE
GOOD HAIR® 60 Tablets
9.00
OIL®
9.00
15.00
$6 Shipping and Handling
(domestic U.S. orders only, excludes Canada & Puerto Rico)
International Orders pay entire shipping charges
Merchandise
Total
Place Check By Preferred Payment Method
CK
MO
Visa/MC/AMEX#______
Visa/MC/AMEX
______ ______ ______
All packages shipped
exp____
Signature____________________________________
1-800-THE-WOMAN
3 Day Delivery
Guaranteed!
Shipping
Make payable and mail or fax to:
Century Systems
Tax (GA. res add 7%)
120 Selig Dr., Box 43725
Atlanta, GA 30336
fax 404-696-2480
www.thewoman.com
email: sales@thewoman.com
T otal
$6