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Vim and Vigor, Inc. New Customer Order Form
	Item	Price	Check Box to Order
	One (1) Collagenate® $67 ($10 off) (one month supply; 33 servings)	$57+$8sh
	Three (3) Collagenate® (Save $42) & get FREE Vim & Vigor Membership (additional bottles are then $40)	$159+$13sh
	Ten (10) Collagenate® at Member Price ($40 ea.) plus One Free Bottle!	$400+$45sh
	Weight Loss Patch   $69 ($10 off) (1 month supply - 30 patches)	$59+$7 s/h
	3 Next Weight Loss Patch (25% off) (3 month supply)	$155+$10 s/h
	1 Collagenate® & Weight Loss Patch ($23 off) (1 month supply)	$113+$9 s/h
	2 Collagenate® & 2 Weight Loss Patch plus FREE Vim & Vigor Membership (additional Collagenate are then $40, Patches $47)	$216+$12 s/h
	One (1) Internal ComfortTM (1 Liter)	$37+$10.50s/h
	Three (3) Internal ComfortTM (10% off)	$99.90+$14s/h
	Vim & Vigor's Herbal A+TM Aloe Juice	$33+$6.50sh
	Vim & Vigor's Herbal Aloe Gel	$19+$6sh
	Buy three (3) Herbal A+ Aloe Juice and get one (1) Aloe Gel Free	$99+$12.50sh
	CitriCare® Supplement (30ml)	$24+$6s/h
	CitriCare® Supplement 10 + 1 FREE CitriCare Supplement + Vim & Vigor Membership	$240+$12.50s/h
	CitriCare® Supplement (500 ml)	$249+$15s/h
	CitriCare® Hand Foam Sanitizer Alcohol Free - Moisturing	$9+$6s/h
	Breast Enhancing Cream (1 tube/1 mo.)	$34+$6sh
	Breast Enhancing Drops (1 btl./2 mo.)	$59+$6sh
	Three Breast Enhancement Creams and One Drops & get FREE Vim & Vigor Membership (SAVE $22) (3 mo.) (additional Cream are then $24, drops are then $42)	$139+$11sh
	Kickin It! with Rick Jarrett CD	$15+$3s&h
	Rick Jarrett's Back To Romance CD s&h waived with Vim & Vigor product order (adjusted after order is placed)	$15+$3s&h
	Rick Jarrett's Back To Romance Cassette s&h waived with Vim & Vigor product order (adjusted after order is placed)	$10+$3s&h
	Call us toll free at 800-622-8446 for discounts on larger orders or for details on our referral program. Shipping charges are for standard delivery within the continental United States. We will contact you if shipping outside the continental US or if you request a non-standard method of shipping. California sales tax will be added to this total where appropriate. Above prices are in US$. A money order may be required if the credit card transaction can not be adequately authorized.