Active 8 Mail Order Form

Text Box: MAIL ORDER FORM
Date:_______________

Right click here to download a PDF form

*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
3601 N. Classen Blvd., Ste. 108,
Oklahoma City, OK 73118
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
$