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Biosyntonie Ceramic Utensiles

For your well being

To order call: 352-377-0015 or

print order form and fax to: 352-378-1895

4140-C NW 27th Lane, Gainesville Florida. Make checks payable to Dr. Talmor

Visa, MasterCard, Check, and Money orders

Prices in US Dollars

Prices subject to change without notice

To Order Colloidal Solutions click here

Order Form

Name:__________________________________________________

Address_________________________________________________

City_____________________________________________________

State/Zip:________________________________________________

Country:_________________________________________________

Day Phone:______________ Evening Phone:__________________

E. Mail:______________________

	Product	Price	Number/Color	Total
1	Tray (Blue, red brownr or white)	$240	_________	_________
2	Pitcher (Wid or Narrow neck) Blue, Turquoise or Red Brown	$240	_________	_________
3	Soup Bowl ( Blue, Green or Red Brown):	$90	_________	_________
4	Plate ( Blue, Turquoise or Red Brown):	$90	_________	_________
5	Cup ( Blue, Turquoise or Red Brown):	$60	_________	_________
6	Small Bowl ( Blue, Greenor Red Brown):	$60	_________	_________
			Sub Total::	_________
	Please call for shipping charges		Shipping::	_________
			Total:	_________

Card Number:________________________________________	Total Charged_______________
Expiration Date:__________ Security Number:__________	Visa___ Master Card___ AMEX___
Billing Address________________________________________ City_________________________________ Zip:________________	Payment Mode: Credit card____ Check__ M.O.____
Name on the card:___________________________________	please call us for more information.1-352-377-0015
Signature:_________________________________________