Biofreeze Order Form

4 fl ounces ... $12.95 ... includes Shipping and Handling. Allow 7 to 10 days for delivery. We accept payment by Master Card or Visa. Check product package for directions, warning and disclaimer. For external use only. Keep out of reach of children.

PLEASE SEND ME ... TUBE(S) OF BIOFREEZE.

Name
Company
Address
City
StateZipcode Country
PhoneFax E-mail

Please enter your credit card information (select): Mastercard Visa

Number: Expiration: Month / Year

Sherman/Simcoe TA5
4277 Bonita Beach Rd.
Bonita Springs, FL. 33923

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E-mail questions or comments to ... jake049@coconet.com