Ultra Enterprises: Order Form
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Order Form


To order any of our products, simply click the "online store" link above and purchase any of these items fast and securely using paypal.
You may also print out the form below, fill it out, and place your order by phone, fax, or mail. We accept checks, money orders, Visa, MasterCard, and American Express cards. Please allow 10 working days for checks to clear.
Orders over $350 please contact us @ 1-800-543-0627

Item #

Product

Size Price Quantity Amount
101 Anabolic II 90 $29.95    
104 Megabolic II 90 $26.95    
107 Liquid Liver Extract 90 $19.95    
108 Liquid Liver Extract 180 $36.95    
110 Foundation Kit 90 $69.95    
205 Fat Grabber II 90 $28.95    
214 Ultra - Female 60 $26.95    
215 Male Response 60 $26.95    
217 Raw Multi-Glandular 60 $26.95    
401 Raw Adrenal 200mg. 60 $15.95    
402 Raw Adrenal Cortex 200mg. 60 $26.95    
403 Raw Orchic 1000mg. 60 $28.95    
405 Raw Pituitary 200mg. 60 $22.95    
407 Raw Prostate 200mg. 60 $14.95    
409 Raw Thyroid 200mg. 90 $28.95    
411 Raw Thymus 200mg. 60 $13.95    
413 Raw Spleen 200mg. 60 $13.95    
415 Raw Lung 200mg. 60 $13.95    
417 Raw Kidney 200mg. 60 $13.95    
419 Raw Heart 200mg. 60 $14.95    
421 Raw Hypothlmus 200mg 60 $18.95    
423 Raw Lymph 200mg. 60 $14.95    
425 Raw Pineal 10mg. 30 $26.95    
427 Raw Pancreas 200mg. 60 $14.95    
429 Raw Uterus 200mg. 60 $18.95    
431 Raw Ovarian 200mg 60 $18.95    
433 Raw Brain 200mg. 60 $14.95    
433B After Thought 60 $22.95    
435 Raw Stomach 200mg. 60 $14.95    
437 Raw Dueodenum 200mg. 60 $14.95    
439 Raw Liver Conc. 8000mg. 90 $18.95    
441 Raw Bovine Cart. 750mg. 60 $29.95    
443 Raw Eye 200 mg. 60 $14.95    
445 Raw Mammary 200 mg. 60 $14.95    
501 Smilax 4x Conc. 2 oz. $17.95    
505 Dibencozide-Plus 2 oz. $25.95    
603 Immune Response 90 $32.95    
609 Joint Response 90 $29.95    
625 Male Response 60 $26.95    
629 Adrenal Response 60 $22.95    
Subtotal
Tax
Discounts
Shipping
Total
 
 
 
 
 

Shipping Information
Name  
Street  
 
City Zip  
State Country  
Phone Number  

Credit Card Information
Type of Card Visa M/C Amex
Name on Card  
Card Number  
Expiration Date  

 

RETURN POLICY

PRODUCT MUST BE RETURNED IN ORGINAL CONDITION WITH IN 7 DAYS FROM DATE OF INVOICE WITH AUTHORIZATION ONLY 20% RESTOCKING CHARGE ON ALL RETURNED PRODUCTS


SEND THIS FORM TO...
Ultra Enterprises
P.O. Box 1712
Whittier, CA 90609-1712
Phone: 562-945-4833
Toll Free: 800-543-0627
Fax: 562-698-7362

For your convenience, you can also download this form as a (72k) PDF document.


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