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Dick Van Antwerp

You can order online!
24 hrs a day, 7 days a week!
or
Call Toll-Free from Anywhere in the U.S.A.
(888) 485-5851

To pay by check or money order please print this form. Fill it out and mail it along with your check or money order to:

Vitality Fit Corporation.
100 W Frontier St

P.O. Box 1630
Payson, AZ 85547-1630

First
Name

Last
Name

Address line 1

Address line 2

City

State

Zip

Day Phone:

Evening Phone:

Product name

Item #

Qty

Price

Total

For Credit Card Orders

Name as
it appears
Card:

Number:

Exp Date:

Arizona residents
add 8.6% sales tax.

Shipping & Handling

$8.45

Total

Special Instructions:


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The statements here have not been evaluated by the U.S. Food and Drug Administration.
These products are not intended to diagnose, treat, cure, or prevent any disease.

THE INFORMATION HERE (AND ANY ACCOMPANYING PRINTED MATERIAL) IS NOT INTENDED TO REPLACE THE ATTENTION OR ADVICE OF A PHYSICIAN OR OTHER HEALTH CARE PROFESSIONAL. ANYONE WHO WISHES TO EMBARK ON ANY DIETARY, DRUG, EXERCISE, OR OTHER LIFESTYLE CHANGE INTENDED TO PREVENT OR TREAT A SPECIFIC DISEASE OR CONDITION SHOULD FIRST CONSULT WITH AND SEEK CLEARANCE FROM A QUALIFIED HEALTH CARE PROFESSIONAL.

Vitality Fit Corporation
100 W Frontier St
P.O. Box 1630
Payson, AZ 85547-1630

info2@primev.com
Toll-Free within U.S.A.: (888) 485-5851
Phone: (928) 468-0626
Mountain STANDARD Time:
8:30 a.m. to 1:00 p.m. Monday through Thursday