program order form
Complete the following form, specifying your program, quantity, flavor and “green” preference and total the order at the bottom of the page. Enter any comments, questions or special circumstances in the “comments” field, and select the “Send Order” button to complete the purchase on a secure server at PayPal.com. *Allow 2-3 days to receive your order.

You can phone in your order by calling (212) 865-4296 and ordering directly from Terry! The order will be filled upon receipt of your check or money order. Or select Check/Money Order from menu at left to complete an order form that you e-mail to us, print out and mail in with your check or money order.
PROGRAMS
QuickStart
Advanced
Ultimate
Cleansing AM/PM
Accelerator Pack
Muscle Formula

PRODUCT LISTS
Diet/Nutrition
Supplements
Personal Care

ORDERING
- PayPal Secure Orders
    Diet/Nutrition Programs
    Diet/Nutrition Products
    Supplements
    Personal Care/Beauty
- Check/Money Orders

INQUIRIES

HOME
Contact Name: First: Last:
Address/Apt#:
City:   State:  Zip:
Phone:* Fax:  (No dashes)
E-mail:*
E-mail again:*
*Very Important!
 Qty   PROGRAM SECURE ORDER FORM   (Click on product name for a description)

  QuickStart   $94.35 + shipping 13.22 =    Select flavor!
Quickstart subtotal 

  Advanced   $149.80 + shipping $18.75  =     Select flavor!
Advanced subtotal 

  Ultimate   $196.80 + shipping $23.46  =     Select flavor!
Ultimate subtotal 

  Cleansing AM/PM   $26.00 + shipping $2.60  =  
AM/PM subtotal 

  Accelerator Pack   $51.90 + shipping $5.19  =     Select flavor!
Accelerator Pk subtotal 

  Muscle Protein Drink Mix   $61.95 + shipping $6.20  =  
Muscle Protein subtotal                                Select flavor!


Quickstart, Advanced
and Ultimate programs,
drink mix flavor and
Green Refresh (standard)
or Green Original (with energy)

Accelerator’s
Wafer flavor:
Muscle Formula
drink mix flavor:
   Your state’s tax     TOTAL:
Questions or Comments?