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Mail Order Form

Please fill out this form completely, then click on the "Print Order" button below.

Sign the completed form and mail it to us.

Once your order arrives we will email you with confirmation that your order was received.

If you have any questions please Contact Us.
(Please Note, this form will NOT send information over the internet)

Purchaser Information

Name:

 
Company:  

Address:

 
City:

 

State:

  or Province  

Zip/Postal Code:  
Country:
E-Mail Address:  

What product are you ordering?

Please choose Shipping Option

Two DermaTend® Advanced        $99.95

Domestic $11.95 International $18.95

DermaTend® Advanced  $69.95

Domestic $7.95 International $14.95

Original DermaTend®       $39.95

Domestic $5.95 International $12.95

DermaTend® Healing Balm $14.95

Domestic  $3.95 International $10.95

Tax (Nevada Residents Only) 7.725%)

Total

Comments/Special Instructions (non delivery)

 

 

 
MAKE ALL CHECKS OUT TO: SOLACE INTERNATIONAL, INC.
 
Signature:___________________________________Date:_________________
 
Print Name: __________________________________________
 
 Please fill out this form completely, then click on the "Print Order" button.
Sign the completed order form and and mail it to us at:
 
Solace International, Inc.
80 Continental Drive, Ste 101
Reno, NV, 89509
 

 

 
 

DermaTend 60 Day Guarantee

We value every customer, and are committed to keeping every promise we make. Remember you are backed by our "You Don't Pay Unless It Works" 60 Day unconditional money-back guarantee.  We're so confident in our products, that we will give you a full 60 days so you can prove to yourself that DermaTend Will Work For You!

   
 
     
 
 
 

Solace International, Inc. | 2010 All Rights Reserved
80 Continental Drive, Ste 101| Reno, Nevada 89509
QUESTIONS? Call 775-323-1413