Please print this form, complete your order. and send it with a money order or certified bank check to:
IQS, 13835 N. Tatum Blvd., Ste. 9-414, Phoenix Arizona 85032 (No personal checks please)
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Please print this form, complete your order. and send it with a money order or certified bank check to: IQS, 13835 N. Tatum Blvd., Ste. 9-414, Phoenix Arizona 85032 (No personal checks please) |
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Acu-Field™ Bracelet - 2SBB $169.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ People Pendant - 3SB $169.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ Bracelet - 4SSB $129.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ Bracelet - BTLB $116.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ Bracelet - BTLG $116.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ People Pendant - PMSB $129.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ People Pendant - PMSG $129.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ People Pendent - PMSS $129.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ People Pendant - PWCS $129.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ People Pendant - PWCG $129.95 Quantity: __________ SubTotal: ____________ |
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Quantum Thermos - THRM $129.95 Quantity: __________ SubTotal: ____________ |
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Quantum Water Bottle - QTWB $129.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ People Pendant - PRRG $129.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ People Pendant - PRRS $129.95 Quantity: __________ SubTotal: ____________ |
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Acu-Field™ Pet Pendant - DGTB $99.95 Quantity: __________ SubTotal: ____________ |
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Chi Body Lotion™ - CL8OZ $39.95 Quantity: __________ SubTotal: ____________ |
Total the product order, add freight cost, then enter the grand total. • For freight inside the US add $4.95 Make checks payable to: Intelligent Quantum Solutions, LLC. Total Product: $ _______________ Freight Cost: $ _______________ Grand Total: $ _______________ |
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