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Visit our Retail Store
120 Route 110
Farmingdale, NY 11735

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Total Health Order Form
www.totaldiscountvitamins.com 1-800-283-2833
Mail To: Total Health, 120 Broadhollow Rd Ste 1, Farmingdale, NY  11735 (make checks payable to "Total Health")
Fax ToSeven Days a Week 24 Hrs a Day to (631) 293-3001
ORDERED BY AND SHIP TO:

Name:_______________________________________________________________________

Street address:_________________________________________________________________

City:_____________________________________ State __________Zip____________________

Day phone:___________________ Evening Phone ___________________ E-Mail:______________________

If you have any question or would like to place an order, call Total Health seven days a week M-F 9am to 6pm Sat/Sun 9am to 5pm (EST). Our friendly staff are here to serve you, just call our toll free 1-800-283-2833 or (631) 293-3001. For orders on Visa, Master Card or Discover, have your card number, expiration date and ccid# ready.

To order by mail: Print this form. Please provide all information. Payment can be made with personal check*, money order, or credit card.

Personal checks-allow 10 business days to clear. Make Checks payable to Total Health Inc. Not responsible for typographical errors. Total Health reserves the right to substitute products of equal or greater value.

If you would like to mail in order form our address is as follows: Total Health, 120 Broadhollow Road Suite 1, Farmingdale, NY 11735

Non US orders will be quoted on an order by order basis - please e mail for quote

Import restrictions, fees, duty, tariffs, and or taxes will be the responsibility of the purchaser.



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