Order: from: The Cloonan Corporation |
| I would like to order: _____Cases of 15 x 16 onces bottles The Answer ® @ $135.95 each (plus S & H) ------------------------------------------ OR ---------------------------------------- _____Cases of The Answer ® Facility package: Each case provides: 750 treatments for 25 patients for 30 days (or more) The facility package includes Two - 1 gallon bottles with pumps for: $ 135.95 each (plus S & H) ---------------------------------------------------------------------------------------- I authorise The Cloonan Corporation to charge my Credit Card for the purchase of The Answer ® plus shipping and handling. Today's date: ____________ My Credit card is: Visa Master Card American Express Complete Name on the card (print) ____________________________________ ____________________________________ The Number is: ____________________________________ Expiration date _______ Signature: ________________________________Phone:___________________ Send to Attention of: _________________________________________ Address: ________________________________________________ ________________________________________________ City, State & Zip: _____________________________________________, U.S.A. --------------------------------------------------------------------------------------------------------------------------- Cloonan Corporation, The Answer ® www.theanswer2oralcare.com Prices are subject to change without notice. 1440 Grand Ave, suite D, San Marcos, CA, 92078 Phone: 760 891-0093 Fax: 760 891-0084 |
