Mail Order Form

 

Ship To Information:

Name:

Address 1:
Address 2:

City:
Province:
Postal Code:
Country:

Telephone:

Email address:


 


Order Information.

I would like to order:

1 bottle of Vilantae.............£36.90

2 bottles of Vilantae..... ......£69.85

3 bottles of Vilantae............£102.80

1 bottle of Vilantae and 1 COLD FUSION acne treatment............£59.85

1 bottle of Liquid Red Vilantae.............£33.90

2 bottles of Liquid Red Vilantae..... ......£63.85

3 bottles of Liquid Red Vilantae............£93.80

1 bottle of Liquid Red Vilantae and 1 COLD FUSION acne treatment............£56.85

(price includes £3.95 flat rate shipping and handling.)

Other (please write below).



 

 


Cheques should be written out to Shipping Matrix.

Please print this page and mail with cheque or money order to:

Evolution-X
Office #15 Wyvern House
Railway Terrace
Derby, Derbyshire DE1 2RU
United Kingdom

 

Deliveries are shipped via Royal Mail First Class and generally take 2-5 days from the time we receive your order form and verify the Cheques.