Bio-Gulf International Corporation
Mail Order Form (For U.S.
Customers Only)
Please print, complete and send this Order
Form along with your payment to:
Micro Software
137 Woodbine Circle
Fort Walton Beach, FL 32548
Tel
:850-862-0166
Fax: 850-862-7885
Email: bio-gulf@cox.net
Please make payment to: Micro Software
Once your payment has been received, we will send you a notification via email.
Note: Checks can take up to
10 days to clear. Therefore, it is better
to make your purchase with Money Order than with
Checks.
Your order will not
be shipped out UNTIL your payment has cleared.
| Description | Unit Price (US$) | Quantity | Total (US$) |
| Maxidus (10 capsules per pack) | 39.95 |
|
|
| Libidus for Women (10 capsules per pack) | 39.95 |
|
|
| Libidus Penis Oil (60 ml) | 19.95 |
|
|
| Virgin Cream (2 jars) | 59.95 |
|
|
| Libidom (24 pieces per set) | 12.50 |
|
|
| Heart Plus (60 capsules per bottle) | 49.95 |
|
|
|
Add Shipping & Handling Charges: US$5 for First Class Mail or US$10 for Priority Mail You MUST select a shipping option and add the shipping charges to your total or the products will not be shipped out. |
|
||
| TOTAL |
|
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SPECIAL '2007' PROMOTION
Maxidus:
Buy 2 packs, get a FREE bottle (30 ml size) of Libidus Penis Oil.
Buy 3 packs, get a
FREE pack of Maxidus plus a FREE bottle (30 ml size) of Libidus Penis Oil.
Libidus for Women:
Buy 2 packs, get a FREE jar of Virgin Cream.
Buy 3 packs, get a FREE pack of Libidus for Women plus a FREE jar of Virgin Cream.
Virgin Cream:
Buy a 2-jar pack, get a another jar FREE.
PAYMENT BY (please select one):
( ) Check ( ) Money Order ( ) Bank Draft
SHIPPING INFORMATION (Please complete legibly in BLOCK LETTERS):
Name: _______________________________________________________________________________________
Address: _____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
City: ___________________________________State: ______________________ Zip: ______________________
Tel: __________________________________________Fax: ___________________________________________
Email: _______________________________________________________________________________________
TERMS AND CONDITIONS
Your order will not be shipped out UNTIL your payment has been cleared.