P.O. Box 6013 
Long Island City, New York 11106

Mail-In or Faxed Order Form

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Quan.
Item #
Description
Unit Price
Total

IGM36

Imperial Gold Maca™ Single Bottle 36 Capsules Trial Size 600mg

$10.89

$

IGMC1 Imperial Gold Maca™ Single Bottle 100 Capsules 600mg

$19.89

$

IGMC-3 Imperial Gold Maca™ 3 Bottle Special Total 300 Capsules 550mg $56.85

$

IGMC-6 Imperial Gold Maca™ 6 Bottle Special Total 600 Capsules 550mg $99.00

$

IGMC-12 Imperial Gold Maca™ 12 Bottle Special Total 1200 Capsules 600mg $149.00

$

IGMPB4 Imperial Gold Maca™ Bulk Powder 4.0.oz - 113gr  ¼ Pound Bag  $19.88

$

IGMPB8 Imperial Gold Maca™ Bulk Powder 7.5 .oz - 212gr Almost A Full ½ Pound $28.89

$

IGMPB1K Imperial Gold Maca™ Bulk Powder 1 Kilo -  2.2 Pound $79.90

$

IGMPB5K Imperial Gold Maca™ Bulk Powder 5 Kilo -11.25 Pounds $15.91LB $349.00

$

IGMPB10K Imperial Gold Maca™ Bulk Powder 10 Kilo -22.5 Pounds $13.29LB $569.00

$

GIGM-1 Gelatinized Imperial Gold Maca™ Single Bottle 100 Capsules 600mg $29.88

$

GIGM-3 Gelatinized Imperial Gold Maca™ 3 Bottle Special 300 Capsules 600mg $85.89

$

GIGM-6 Gelatinized Imperial Gold Maca™ 6 Bottle Special 600 Capsules 600mg $159.00

$

GIGM-12 Gelatinized Imperial Gold Maca™ 12 Bottle Special 1200 Capsules 600mg $249.00

$

GIGM1K Gelatinized Imperial Gold Maca™ Bulk Powder 1 Kilo -  2.2 Pound $119.00

$

GIGM5K Gelatinized Imperial Gold Maca™ Bulk Powder 5 Kilo -  11¼ Pounds 449.50

$

ooo1 Royal Oil of Oregano™ - Helps Kills Bacteria, Fungus and Parasites Fast! $34.89

$

REI1 Royal Energized Iodine™ - May Help To Regulate The Thyroid and Other Glands Effectively. 24.89

$

LIST ADDITIONAL ITEMS BELOW NOT LISTED HERE  

$

$

*Prices shown are for mail order or fax orders only

Subtotal

$


*
Shipping & Handling :
 
1-2 Bottles $7.95 - 3-5 Bottles $8.95  - 6-8 Bottles $11.95  7-12 Bottles $12.95  4.0 .oz - 7.50.ozBag $ 7.49, 1 Pound $10.49,  1 Kilo Bag  $13.49  - 5 Kilo Bag $23.90 10 Kilo Bag $43.75 Shipping Rates Are For USA Delivery Only. For Order's Overseas Send An E-Mail For Shipping Rates For Your Country.
Orders That Can Not Be Shipped By UPS Will Be Shipped By US Postal Service

 *Shipping
& Handling
 

$

 REMARKS:

Amount Due

$

Mail Orders may be paid for by Check, Money Order, Cashiers Check, Credit Card. Make Checks payable to

A Healthy Alternative, LLC.
Send payment and this order form to address below.

A Healthy Alternative, LLC.
P.O. Box 6013
Long Island City, New York 11106

Method of Payment:

Check

Money Order

Credit 
Card

Credit Card Number

Exp. Date
q VISA  q  MASTER CARD q AMERICAN EXPRESS q DISCOVER CARD

3 Digit Security Code From Rear of Card _____
4 Digit From Front of Card AMEX _____

Signature:____________________________
Required

Faxed Orders may be paid for by Credit Card only. Fax Order form with credit card information and signature to the number below. Orders Are Processed Within 24-48 Hours. Mailed Orders with money orders are shipped at once. 
(718)-850-9682 and (718)-850-9685
Imperial Gold Maca™ is produced in Lima, Peru

 

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