21st Century Aloe Vera

Freeze Dried

Buy Aloe VeraOrder by Mail:

Print this form, fill it out, and mail it along with a check or money order to the address below:

Name________________________________________________________________      

Address______________________________________________________________   

City___________________________   State_________   Zip_______________ 

Phone #_______________________   Evening # ________________________ 

 

Item 

Price

Subtotal

Product #31231:   Single order of one (1/4 oz.) bottle of soluable, freeze-dried, 21st Century Aloe Vera sent Priority Mail Delivery Confirmation at no extra charge.

$ 89.95

$

Product #31232:   Double order of two (1/4 oz.) bottles of soluable, freeze-dried, 21st Century Aloe Vera sent Priority Mail Delivery Confirmation at no extra charge.

$ 149.95

$

Product #31233:  Load up Special order, sent USPS Overnight Express Mail at no extra charge, of four (1/4 oz.) bottles of soluable, freeze-dried, 21st Century Aloe Vera.

$ 249.95

$

Add USPS Overnight Express Mail on Product #31231 or #31232.

$ 15.00

$

Add Global Express shipping and handling to Canada.

$ 25.00

$

Add Global Express shipping and handling to all other International destinations.

$35.00

$

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TOTAL

$

 Orders received with a Postal Money Order are shipped the same day.  Personal checks might take as long as five days to process.  Mail to:

21st Century Health
P.O. Box 333
Mill Valley, CA  94942

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