First Name

Last Name

Ship to Address: line 1

. . . line 2 (optional)

. . . line 3 (optional)

City

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Postal Code

Country

Telephone

Email Address

Confirm Email

Please select the amount of LifeOne you wish to purchase. Your order will be received and the correct shipping costs computed and returned to you for payment. For the first month of treatment you will need six bottles of LifeOne, afterwhich the treatment is three bottles of LifeOne per month.

. . . . . .1 Bottle. . . . . . .$145.00

. . . . . .2 Bottles . . . . .$290.00

. . . . . .3 Bottles . . . . .$410.00

. . . . . .4 Bottles . . . . .$545.00

. . . . . .5 Bottles . . . . .$680.00

. . . . . .6 Bottles . . . . .$780.00

For more than six bottles please put the desired amount in the box to the right for a price quote.

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Please enter any comments or special requests or instructions to the right.

Please confirm all the above information is correct, if not, re-enter then click on the "Submit" button to place your order.

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