Text Box: MAIL ORDER FORM
Date:_______________

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*Required Field        

 

Text Box: Please Print:                                   
Name*: ___________________________________________________
Address*: __________________________________________________
City*: _____________________________________________________
State*: _________Zip*: ______________Phone:__________________
Email:_____________________________________________________
Credit Card# (optional)_______________________________________
Exp. Date: ______________________________    
*Required Field         
 

 

Text Box: Shipping & Handling:
 
Less than $40:   $4.95
$40.01 - $65:     $5.95
$65.01 - $100:   $7.95
Over $100:        $11.95
 
OK residents only  please add 8.375% sales tax

 

Text Box: Fill in and Send to:
Active 8 Products 
3838 NW 36th St, Ste. 104,
Oklahoma City, OK 73112
or Call:  1-800-465-4411
Please Make Checks payable to Active 8.
 
 

 

 

Subtotal

$

 

Tax

$

 

Shipping

$

 

Total Due

$

 

Text Box: Quantity
Item
Units
Description
Retail Price
      Total
 
A01
Bottle
Active 8  30 capsules
$19.95
$
 
B01
Bottle
B-Active  30 capsules
$19.95
$
 
V28M-01
Bottle
Vital 28 Multi-Vitamin - 60 tablets
$24.95
$
 
 
 
A-O1
Bottle
Omega Fish Oil/w lemon  60 gel capsules 
$29.95
$
 
AO-M01
Bottle
Omega Fish Oil/w lemon  100 mini gel capsules
$24.95
$
 
 K - 1
Bottle
Active 8 Kids A-Z Immune Booster  4.1 fl. oz.
$39.95
$
 
 En-01
Bottle
Enrichen-14 Hair Skin & Nails Supplement
$14.95
$
 
 ME-Re01
Bottle
Restore-MX  120 capsules
$44.95
$
 
 ME-Pr01
Bottle
Prosta-Men  60 tablets
$39.95
$
 
D - 05
 Kit
Active 8 Better Health Better Life Diet Plan
$159.95
$
 
 
D - 02
Bottle
Active 8 BH BL Diet Supplement #1  90 capsules
$34.95
$
 
D - 03
Bottle
Active 8 BH BL Diet Supplement #2  90 capsules
$29.95
$
 
D - 04
Bottle
Active 8 BH BL Diet Supplement #3  60 capsules
$29.95
$
 
1-C
Packet
Active 8 BH BL Diet Protein Drinks  30 ea Chocolate
$69.95
$
 
1-S
Packet
Active 8 BH BL Diet Protein Drinks  30 ea Strawberry
$69.95
$
 
1-V
Packet
Active 8 BH BL Diet Protein Drinks  30 ea Vanilla
$69.95
$
 
1-CVS
Packet
Active 8 BH BL Diet Protein Drinks  10 ea Chocolate, Strawberry, Vanilla
$69.95
$
 
1-CV
Packet
Active 8 BH BL Diet Protein Drinks  15 ea Chocolate, Vanilla
$69.95
$
 
1-CS
Packet
Active 8 BH BL Diet Protein Drinks  15 ea Chocolate, Strawberry
$69.95
$
 
1-VS
Packet
Active 8 BH BL Diet Protein Drinks  15 ea Vanilla, Strawberry
$69.95
$
 
OTC-1
Tube
Orthopedic Therapy Pain Relief Cream  4 oz.
$18.95
$
 
RE- 1
Bottle
Renewed Essence Moisturizing Cleanser  3.5 oz.
$19.95
$
 
RE- 2
Bottle
Renewed Essence Rejuvenating Toner  3.5 oz
$19.95
$
 
RE - 3
Bottle
Renewed Essence Firmance Eye Serum  1.0 oz.
$39.95
$
 
RE - 4
Jar
Renewed Essence Firmance Moisturizer  1.7 oz.
$39.95
$
 
RE - 6
Bottle
Renewed Essence Facial Scrub  3.5 oz.
$22.95
$
 
RE  Set
All 5
Renewed Essence Skin Care Set (C,T,S,E,M)
$119.95
$
 
RE - Set
4a
Renewed Essence Skin Care Set (S,C,E,M)
$107.95
$
 
RE  Set
4b
Renewed Essence Skin Care Set (S,T,E,M)
$107.95
$
 
RE - Set
4c
Renewed Essence Skin Care Set(C,T,E,M)
$104.95
$
 
RE  Cmb2
Kit
Renewed Essence Travel Kit
$29.95
$
 
RE - 12
Kit
Renewed Essence Trial Size Kit
$7.95
$
 
RE - 5
Tube
RE Hand Cream for Ultra Dry Skin  4.2 oz.
$9.95
$
 
S02
Tube
RE Smoother Legs Firming Gel  7.0 oz.
$34.95
$

 
Subtotal
$
 
Tax
$
 
Shipping
$
 
Total Due
$