We conveniently accept all forms of payment including checks, money orders, etc. Personal checks normally take up to 2 weeks to clear. Send a cashier's check or a money order for faster turn-around time. Make all payments payable to CleavOnline.Com. You can also mail us your credit card information if you are worried about using it online as many people are.
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Complete All Information, Print Form, Then Mail This Form To: | |||
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P-D-T.Com | |||
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Shipping Information | |||
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Name & Shipping
Address: |
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Phone Number: |
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E-Mail Address: |
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Credit Card Information (If Paying By Credit/Debit Card) |
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Visa/MasterCard/Amex/Discover #: |
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Visa/MasterCard/Amex/Discover Expiration Date: |
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Product Description + S&H | |||
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Instant Clean Add-It-Ive |
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Spike Additive |
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Sub Solution |
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Hair Follicle Shampoo |
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Rescue Cleanse 17 oz. Detox Drink (Watermelon Flavor) |
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Rescue Cleanse 32 oz. Detox Drink (Cran-Apple Flavor) |
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Green Clean "One Shot" Apple Concentrate |
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Supreme Klean Mouth Wash (Saliva) |
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Oral Clear Gum (Saliva) |
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Single Panel Test Kit |
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Six Panel Test Kit |
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Pre-Cleanse Herbal Formula |
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Value Packs - |
+ $9.95 S&H | ||
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Shipping Prices |
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Total Cost (USD) Product Cost + S&H Choice |
Can't print this form? Write us a note or email your name/address here and we'll send one to you!