Mail Order Form

Phendrazene Mail Order Form

Please fill out this form completely and mail it in with your money order (no cash or personal checks) in US Dollars only to the following Address:

Health Mark Laboratories ,
1314 East Las Olas Blvd #1064,
Fort Lauderdale, FL 33301,
USA

Please select the item you are purchasing:

Phendrazene 1 Month Supply/ 1 Bottle

$69.00

Phendrazene 3 Month Supply/ 2 Bottles PLUS 1 Bottle FREE

$119.00

Phendrazene 6 Month Supply/ 4 Bottles PLUS 2 Bottles FREE

$149.00

Please select a shipping method:

INTERNATIONAL ONLY - USPS Global Express

$25.99

Please completely fill out the following information as clearly as possible:

First Name:
Last Name:
Street Address:
City:
State:
ZIP/Postal Code:
Area Code :
Telephone Number:
Email Address:
Total Amount of Money Order Enclosed:

These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease. As individuals differ, their results will differ, even when following the same method. Disclaimer: Before using this product, please consult with your healthcare professional if you are pregnant, nursing, diabetic, or if you have any medical conditions or are taking any medicines. Dietary supplements can affect the way medicines work. If you are given a prescription for medicine, always tell your healthcare professional what dietary supplements you are taking.