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Print & mail with payment to:
Healthy Me LTD
P O Box 147200, Ponsonby
Auckland, New Zealand
1010

For Office Use Only:
54622
DELIVERY INFORMATION
Contact Person:  
Phone Number:
  Fax:  
Email Address:  
Delivery/Mail Address:  
   
PAYMENT DETAILS

Notice: All payments will be procecced in EUROS (EUR €) only.

Please fill in the required information below:
Card Number:  
Card Expiration Date (MM/YY):
  /   CVV2 Number:   CVV2?
Name as it appears on card:  
Credit Card Street Address:  
Credit Card City, State:  
Credit Card Country:  
Credit Card Zip/Country Code:  

Cardholder Signature:
 
Please select the credit card type used for this order:
MasterCard
Visa
American Express
*** NOTE *** We only send what you've ordered. We only make re-orders when you re-order.
DELIVERY COST
Parcel Post Airmail 21 - 28 days - €10.00 DHL Mail 10 - 14 days - €35.00 DHL Express 3 - 5 days - €65.00
*** NOTE *** Free Parcel Post Delivery with every Order over €99.00
Free DHL Mail Delivery with every Order over €200.00
QUANTITIES
Item CodeDescriptionPrice in EURO €Quantity (Please Specify)
GB1 Sensory Pills - Golden Bullet - 1 pack (4 pills) €25.00  
GB3 Sensory Pills - Golden Bullet - 3 pack (12 pills)
** SAVE €25! / Free Parcel Post **
€59.00  
GB6 Sensory Pills - Golden Bullet - 6 pack (24 pills)
** SAVE €50! / Free Parcel Post **
€110.00  
GB10 Sensory Pills - Golden Bullet - 10 pack box (40 pills)
** SAVE €95! / Free DHL Mail **
€149.00  
GB20 Sensory Pills - Golden Bullet - 20 pack box (80 pills)
** SAVE €266! / Free DHL Mail **
€269.00  
DY1 Energy Pills - Dynamite - 1 pack (4 pills) €25.00  
DY3 Energy Pills - Dynamite - 3 pack (12 pills)
** SAVE €25! / Free Parcel Post **
€59.00  
DY6 Energy Pills - Dynamite - 6 pack (24 pills)
** SAVE €50! / Free Parcel Post **
€110.00  
DY10 Energy Pills - Dynamite - 10 pack box (40 pills)
** SAVE €95! / Free Parcel Post **
€165.00  
DY20 Energy Pills - Dynamite - 20 pack box (80 pills)
** SAVE €266! / Free DHL Mail **
€249.00  
JCIG1 Smoking Blend - Inca Gold - 1 gram €25.00  
JC1 Smoking Blend - Jungle Cabbage - 1 grams €25.00  
JC5 Smoking Blend - Jungle Cabbage - 5 grams
** SAVE €35! / Free Parcel Post **
€100.00  
JC10 Smoking Blend - Jungle Cabbage - 10 grams
** SAVE €95! / Free Parcel Post **
€165.00  
JC20 Smoking Blend - Jungle Cabbage - 20 grams
** SAVE €266! / Free DHL Mail **
€269.00  
Special Offer Products Special Price in EURO € Price Savings Quantity (Please Specify)
Sample Party Pack
 Sensory Pills - Golden Bullet 4 pill pack
 Energy Pills - Dynamite 4 pill pack
 Smoking Blend - Jungle Cabbage 1 gram
** Free Parcel Post **
€59.00 Save €25  
Weekend Party Pack
 Sensory Pills - Golden Bullet 12 pill pack
 Energy Pills - Dynamite 12 pill pack
 Smoking Blend - Jungle Cabbage 5 grams
** Free Parcel Post **
€175.00 Save €100  
Ultimate Party Pack
 Sensory Pills - Golden Bullet 28 pill pack
 Energy Pills - Dynamite 28 pill pack
 Smoking Blend - Jungle Cabbage 5 grams
** Free DHL Mail **
€249.00 Save €246