GHR Gold- Mail Order Form


Please click on the print icon above to print this form,
then enter the required information and mail payment to:



GHR Products
P.O. Box 6835
Woodland Hill, CA 91365
USA



SELECT QUANTITY :

  The following are pricing options for GHR Gold:

1 Month Supply (1 Bottle) $45.95

3 Month Supply (3 Bottles) $119.00

6 Month Supply (6 Bottles) $179.95

12 Month Supply (12 Bottles) $329.90

California residents please add 8.25% sales tax.  All prices are in U.S. Dollars.


PAYMENT OPTIONS

  We accept the following forms of payment (U.S. funds only)

  • money order

  • Personal Checks

  • cashier's checks

  Note: Personal checks must clear bank before shipping.


  Please make your payment payable to: "GHR Products"

CUSTOMER SHIPPING INFORMATION

  FULL NAME:
____________________________________________________________
STREET ADDRESS: ____________________________________________________________
CITY, STATE, ZIP: ____________________________________________________________
COUNTRY/PROVINCE: ____________________________________________________________
TELEPHONE NUMBER: ____________________________________________________________


Your order will be shipped via USPS. If you wish to receive tracking information please be sure to include your email address.


AGE VERIFICATION

  I hereby certify that I am at least 18 years of age.


  CUSTOMER SIGNATURE: ____________________________________________