Order Products Form

FEEL WELL and do GOOD for YOURSELF
with
Goldshield Elite, Changes Products and Peter Darby - Membership # 52470

Ordering your Health & Nutritional Products

To place an order to receive products in the UK direct from me
simply enter the quantity you want in the"Quantity to Order" box for each relevant product(s),
(use the TAB key or just click on another box when you have typed in the value you want and
then the total value of the order will be calculated for you automatically)
complete your contact details, click the "Send Your Order" button, and lastly
send a cheque (no stamp required in UK) made payable to
PSD Management Ltd
for the relevant sterling amount to
Peter Darby, FREEPOST, 17 Marlock Close, Fiskerton, Southwell, Notts NG25 0BR

Product
Description

Price per
Bottle/Box

Quantity
to Order

Order Value
per Product


	Total Quantity
		Total Value

Optionally, enter your own reference code for this order
plus
any special instructions, comments or questions
in the space provided below:

My Order Reference is: ThermoMax Pack Flavours: Shake - Systemax -

Please tell me where to send your order once your Cheque arrives
(a VAT invoice will be enclosed with your order)

Name     
E-mail   
Address   
Tel      
 FAX

Tick here if you would like me to contact you urgently regarding this order.
Finally, just a reminder that you could buy these products
directly from Changes UK at a favourable discount
just by joining Changes - and it's FREE (you don't have to run it as a business - you can Just buy your products for your own use at the lowest prices)

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ps . If you own or run a small business, this link to a sister site is worth clicking