Customer #: Purchase Order # (if necessary): HOW WOULD YOU LIKE YOUR ORDER TO BE SHIPPED?

Transcription

1 Pharmacy/Clinc Name: Purchase Order # (if necessary): Phone #: Fax #: HOW WOULD YOU LIKE YOUR ORDER TO BE SHIPPED? Ground Standard 4 Days or Less Will Call HOW WOULD YOU LIKE YOUR FAX ORDER TO BE CONFIRMED? Phone Fax or Address: Phone in your order to Fax this sheet to to Orders@cinapharma.com TERMS & PAYMENT METHODS: Cash on delivery (COD), Credit Card (VISA, MasterCard, American Express and Discover). No Returns will be accepted at this time HTP / Standardized Griffonia Extract 100 mg 30 $ MTHF 1 mg 60 $ Acetyl-L-Carnitine / 500 mg 30 $ Active Life Nutrient Capsules 60 $ AdreBoost-NG 60 $ Adrenal Health, Glandular 60 $ Aller Calm Complex 90 $ Alpha Lipoic Acid / 100 mg 60 $ Alpha Lipoic Acid / 300 mg 60 $ AntiOxidant Essentials / with Vitamins C & E 90 $ Balanced Meal Complete Chocolate 1.1 lb $ Balanced Meal Complete Vanilla 1 lb $ Berberine Support 60 $ Beta-Carotene / 25,000 IU / Natural Mixed Carotenoids 60 $ Bilberry Plus / 60 mg Standardized Extract with Bioflavonoids 60 $ BioDIM I-3-C Complex 60 $ Black Cohosh Plus / 40 mg Standardized Extract with Dong Quai 120 $ Bone Health Support / with Ipriflavone, Soy & Calcium 120 $26.95 Eff. 01/13/17 Page 1 of 5

2 10198 Brain Calm 60 $ Brain Health Support / with Ginkgo Biloba & Phosphatidyl Serine 60 $ Branch Chain Amino Acids (BCAA) 330 gm $ Bromelain / 400 mg / Proteolytic Enzyme 60 $ Buffered Vitamin C 1000 mg 100 $ Buffered Vitamin C Powder 246 gm $ Calcium & Magnesium Citrates 100 $ Calcium & Magnesium Plus / with Boron & Vitamin D 250 $ Cardio Health Support / with Hawthorn & CoQ10 60 $ Children's Acidophilus / Grape Flavor 60 $ Children s Chewable Vitamin with Acidophilus 120 $ Chromium Picolinate / 200 mcg 90 $ Citrus Bioflavonoids Complex / 1000 mg 100 $ CoEnzyme-B 50 $ CoEnzyme Q10 / 50 mg 30 $ CoEnzyme Q10 / 100 mg 30 $ CollaSkin Plus NEW 180 gm $ Cranberry Concentrate / 400 mg with Vitamin C 60 $ Crave Control 180 $ Curcumin Complex 60 $ DHEA 25 mg / Dehydroepiandrosterone 90 $ DHEA 50 mg / Dehydroepiandrosterone 100 $ DHEA Spray / 5 mg Liposomal Delivery System 1 oz $ Diabetes Balance (RF) 60 Caps 60 $ Diabetes Balance (RF) 120 Caps 120 $ Diet Support with Garcinia Cambogia 90 $ Digestive Enzymes with Betaine 90 $ Digestive Enzymes (Vegetarian) 60 $ Echinacea & Goldenseal Formula 100 $ Essential Minerals / with Trace Elements 100 $ Essentials / MultiVitamin & Mineral / No Iron 60 $ Essentials Performance / MultiVitamin & Mineral 90 $ Essentials Plus with Iron 90 $ Evening Primrose Oil / 1300 mg 60 $ Extra Strength Probiotic / 35 Billion 30 $ Eye Health 90 $ Fiber Blend / Natural Mix of Soluble Fibers 120 $27.90 Eff. 01/13/17 Page 2 of 5

3 10062 Flax Seed Oil / 1000 mg / 100% Organic / Lignan Rich Virgin Oil 90 $ Folic Acid / 800 mcg with Vitamin B $ FOS Powder 4 oz $ Fruits & Greens Energy Drink oz $ GABA Calm NEW 60 $ Ginkgo Biloba / 120 mg 50 $ Glucosamine & Chondroitin Plus / with Vitamin C & Bromelain 60 $ Glucosamine & Chondroitin Plus / with Vitamin C & Bromelain 180 $ Glucosamine & MSM (RF) 120 $ Glucosamine Sulfate / 750 mg 60 $ Gluten Digestive Enzymes 60 $ Grape Seed / Standardized Extract 100 mg with Red Grape Skin 30 $ Green Tea / Standardized Extract 300 mg 60 $ Green Tea-70 High Concentration EGCg 60 $ Hair, Skin and Nails 90 $ Hawthorn Berry Extract / 100 mg 120 $ Herbal Intestinal Cleanse / Orange NEW oz $ High Performance Drink 15.2 oz $ Horsechestnut / Standardized Extract 300 mg 90 $ Hyaluronic Acid 60 $ Immune Health Support / with Echinacea & Astragalus 60 $ Immuno-DMG Chewable 120 $ InflamMove 90 $ Inositol Powder 4 oz $ Iron / 25 mg as Amino Acid Chelate & Gluconate 100 $ Joint Health Support / with Glucosamine & MSM 90 $ Kelp / Supplies 225 mcg Iodine 500 $ L-Arginine 500 mg 100 $ L-Carnitine / 500 mg with Vitamin B-6 30 $ L-Glutamine / 500 mg 100 $ L-Glutamine / Powder 300 gm $ L-Lysine / 500 mg 100 $ L-Theanine 60 $ Libido Health 90 $ Liposomal Glutathione 250 mg 60 $ Liver Detox Phase I & II 120 $ Lutein Plus / 20 mg 30 $22.50 Eff. 01/13/17 Page 3 of 5

4 10303 Magnesium Chelate 400 mg 90 $ Magnesium Glycinate / 1000 mg 100 gm $ Magnesium & Potassium Aspartate 299 mg 90 $ Male Virility Support 60 $ Marine Fish Oil 1000 mg 100 $ Melatonin / 3 mg Long Acting 60 $ Melatonin / 3 mg with Vitamin B-6 60 $ Melatonin Liposomal Spray 1 oz $ Memory Plus 60 $ Menopause Support / with Isoflavones and Black Cohosh 60 $ Metal-Elim 270 $ Methyl B-12 Lozenges 3,000 mcg 50 $ Methylcobalamin B-12 Spray 1 oz $ Migraine Clear 120 $ Milk Thistle Plus / 175 mg Standardized Extract with Artichoke 60 $ Mood Health Support / with St. John's Wort 60 $ MSM / Methylsulfonylmethane 1000 mg 60 $ NAC / 600 mg 60 $ Neo40 Pro 30 $ Niacin / Vitamin B-3 / 100 mg 100 $ Niacin Sustained Release / 500 mg 100 $ Nitric Oxide Indicator Strips (25-Count) 25 strips $ Omega-3 Fish Oil, Enteric Coated, High Potency 60 Ct 60 $ Omega-3 Fish Oil, Enteric Coated, High Potency 120 Ct 120 $ Omega-3 Liquid Lemon 150 ml $ Omega Max / Complete Essential Fatty Acid Formula 60 $ Pantothenic Acid / 500 mg 100 $ Perfect E 30 $ Perfect Protein Powder 510 gm $ Phosphatidyl Serine Complex / 500 mg 30 $ Potassium / 99 mg as Amino Acid Chelate 250 $ Prenatal Plus 120 $ Probiotic Extra Strength DF / 52 Billion CFU 60 $ Probiotic Mega Blend DF 120 $ Probiotic Daily Support 60 Capsules 60 $ Probiotic Daily Support 120 Capsules 120 $ Prostate Health Support / with Saw Palmetto & Nettle 60 $30.95 Eff. 01/13/17 Page 4 of 5

5 10308 Pyridoxal-5-Phosphate 60 $ Quercetin Plus / 500 mg with Vitamin C & Turmeric 50 $ Red Yeast Rice Plus 60 $ Relaxation Formula / Natural Relaxing Formula 60 $ Relora 250 mg 60 $ Resveratrol Plus 200 mg 60 $ Ribose D 300 gm $ Saccharomyces Boulardii 60 $ SAM-e / 200 mg / Enteric Coated 30 $ Saw Palmetto / 320 mg Standardized 90 $ Selenium / 200 mcg as L-Selenomethionine 60 $ Sleep Perfect Formula 60 $ Sleep Support 60 $ Soy Isoflavones / Standardized Extract 1000 mg 60 $ St. John's Wort Plus / 300 mg Stand. Extract with Ginseng & Ginkgo 60 $ Strontium Citrate / 200 mg 90 $ Super Stress Support / with B-Complex, Vitamin C & Valerian 60 $ Thyroid Support with Zinc 60 $ Ubiquinol / CoQH 50 mg 60 $ Ubiquinol / CoQH 100 mg 30 $ Ultimate Joint Complex 90 $ Valerian Root / Standardized Extract 125 mg 100 $ Vitamin A & D / 10,000 IU & 400 IU 100 $ Vitamin A, D3 & K2 60 $ Vitamin B-6 / Pyridoxine 100 mg 100 $ Vitamin B-12 / Cyanocobolamin 500 mcg 100 $ Vitamin B-Complex / 100 mg / Long Acting Formula 100 $ Vitamin C 500 mg / Orange Chewable 90 $ Vitamin C 500 mg / with Rose Hips 100 $ Vitamin C 1000 mg / with Bioflavonoid Complex 100 $ Vitamin C Esterified 500 mg 60 $ Vitamin D / 5000 IU 100 $ Vitamin D3 / 1000 IU 100 $ Vitamin D3 Drops / 2000 IU 1 oz $ Vitamin K2 / All Natural Source 60 $ Zinc / 20 mg as Monomethionine 100 $ Zinc Lozenges / 15 mg with Vitamin C & Slippery Elm 60 $10.50 Eff. 01/13/17 Page 5 of 5