Your security is very important to us, which is why this order form is fully encrypted for your protection and peace of mind. Because this order form incorporates only the most advanced technology available in e-commerce today, there is no way your personal information can be intercepted.

However, if you still feel uncomfortable ordering online, you can call us Monday to Friday between 9:00 am & 5:00 pm (Pacific), TOLL FREE at 1 (877) 420-9211  and we will be happy to take your order over the phone.

 
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Order Form		            All prices  are in US Dollars
   

Name:

Street:

City:

State/Province:

Country:

Zip/Postal Code:

   
Information  
   
E-mail Address:

Fax Number:

Phone Number:

All prices  are in US Dollars
Colvera  

Please rush me one bottle of Colvera

$59.95\bottle

Please rush me three bottles of Colvera

$149.95\combo

Aphrodisiacs/Impotence  
Powder of Love for Men (80 capsules)

Please rush me

$39.95\bottle
Powder of Love for Women (80 capsules)

Please rush me

$39.95\bottle
Combo Package (1 Men + 1 Women)

Please rush me

$69.95\combo
Virility Max for Men (80 capsules)

Please rush me

$47.95\bottle
Virility Max for Women (80 capsules)

Please rush me

$47.95\bottle
Combo Package (1 Men + 1 Women)

Please rush me

$79.95\combo

Blended Herbal Products
Energy Booster (80 capsules)

Please rush me

$29.95\bottle
Stress Aid (80 capsules)

Please rush me

$29.95\bottle

 

Shipping & Handling =

5.50
International orders-Outside of Canada and  the USA- please add $3.00 =

TOTAL IN US DOLLARS =

 
Credit Card Information

Card Type:

Card Number:

Name on Card:

Expiration Date:

  example  06/06
 



                                  

Botany Bay Botanicals
Suite 107, 12882 85th Ave
Surrey, BC, Canada, V3W 0K8
 Toll Free  Order Line Call 1--877-420-9211
 Fax 604-847-3563

For Information or questions contact
webmaster@formulamaster.com