Whole Wellness Club Order by Mail Form
Print and mail this document to:
Advanced Marketing, 2050 Beavercreek Rd., #310, Oregon City, OR 97045
Paid to
: Advanced Marketing

Full Name:
Street address :
_________________________________________________________________________
Phone:____________________ Fax:_______________________
E-mail:
Order Form: Retail: Quantity:
Dr. Millers Holy Tea - ( 2 Tea Bags - Makes 1 Gallon )   $12.49 ______
Dr. Millers Holy Tea - ( 4 Tea Bags - Makes 2 Gallons )   $24.98 ______
Dr. Millers Holy Tea - ( 6 Tea Bags - Makes 3 Gallons )   $37.47 ______
Dr. Millers Holy Tea - ( 8 Tea Bags - Makes 4 Gallons )   $49.96 ______
Dr. Millers Holy Tea - ( 10 Tea Bags - Makes 5 Gallons )   $62.45 ______
Dr. Millers Holy Tea - ( 12 Tea Bags - Makes 6 Gallons )    $74.94 ______
Dr. Millers Holy Tea - ( 14 Tea Bags - Makes 7 Gallons )  $87.43 ______
Dr. Millers Holy Tea - ( 16 Tea Bags - Makes 8 Gallons )  $99.92 ______
Dr. Millers Holy Tea - ( 18 Tea Bags - Makes 9 Gallons )  $112.41 ______
Dr. Millers Holy Tea - ( 20 Tea Bags - Makes 10 Gallons )  $124.90 ______
Coral Complex 3 - 1 bottle 90 caps $30.00 ______
Coral Complex 3 - 3 bottles $69.25 ______
Cinnamon 6 - 243 vegetable caps $56.00 ______
  Total: ______
 All prices are in US dollars. Shipping Included
Message:__________________________________________________
_________________________________________________________
 Information Package? Yes or No (Please Circle)

Send Money Order for faster delivery, if Check waits to clear with bank.  
Payment to: Advanced Marketing 

Adrian V. Mathews: (503) 353-8968 - www.HolyTeaSavings.com