MAIL ORDER FORM

M & D Services

5435 Childress Dr.

Grand Prairie, TX  75052

***NO PRODUCTS ARE KEPT AT THIS PHYSICAL ADDRESS - Products are all drop shipped directly from warehouse to you!***

Just Print This Page And Mail With Check Or Money Order To The Above Address.

The Shipping & Handling price is only good for U.S. orders! International orders need to email us for additional charges.

First Name: Last Name:
Address: City:
State: Zip Code:
Telephone:  
Complete Ship To Information Only If Different Than Above
Ship To Address: Ship To City:
Ship To State: Ship To Zip Code:
Product Description Price Quantity
ACTIVATOR $44.45  
ANTI-STRESS $47.45  
AZUL $39.45  
COMPLETE $44.45  
DETOX $38.45  
E-LITE PLUS $47.45  
E-LITE NITE $44.45  
E-LITE II $47.45  
E-LITE PROTEIN SHAKE $42.45  
EMERALD GREEN $44.45  
HGH  $71.45  
JUBILEE $49.45  
MAGNET $47.45  
SLIM TEA $44.45  
  SUBTOTAL  
 

SHIPPING & HANDLING

($5.00 Per Bottle)

  
  TOTAL  

 

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