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LIVE A LONGER, HEALTHIER LIFE!!!


If paying by credit card, you may press the SUBMIT button. If paying by check or money order, please print the form and mail it along with your payment to:

BRUCE BUNTJER'S COMPUTER SERVICES
20316 County Rd 13
New Ulm, MN 56073

If you have any questions or comments please contact me at bruce@bbcsbbcs.com

ADVANCED DAILY NUTRITION

BONE AND JOINT SUPPORT

FOCUSED NUTRITION

DIGESTIVE SUPPORT

WOMEN'S NUTRITION

MEN'S NUTRITION

WEIGHT MANAGEMENT

EACH BOTTLE COST $29.95 PLUS S/H.

Please select the products that you would like to order and then press the submit button. If you would like to pay by check or money order, please make it payable to:

Bruce Buntjer's Computer Services
20316 County Rd 13
New Ulm, MN 56073

When sending an order through the U.S.P.S. please print out your order form and send it along with your payment to the above address.
Payment must be received before any orders are processed.

If you would like to use a secure connection for sending your credit card information, Please fill in the rest of the applicable information on this order form and then press the submit button. After completing that part of your order then return to this page and click here. This will connect you to a secure server and you may then fill out the form and submit that.

Your Name:
E-mail address:
Shipping Address:
City:
State:
Zip code:
Payment method: Credit Card, or Check or Money Order
Credit Card number:
Expiration Date:
Products you are ordering:

How many bottles or packages of this item do you want?


Second product you are ordering:

How many bottles or packages of this item do you want?


Third product you are ordering:

How many bottles or packages of this item do you want?


Fourth product you are ordering:

How many bottles or packages of this item do you want?


Fifth product you are ordering:

How many bottles or packages of this item do you want?


Sixth product you are ordering:

How many bottles or packages of this item do you want?


Product not listed above:

How many bottles or packages of this item do you want?

Shipping and handling charges:
1-3 Bottles $5.00
4-6 Bottles $10.00

Total amount due:

Note: Sales tax will be charged for MN residents.

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