Greenshine Order Form (Price good for United States customers ONLY, Please)
1. Greenshine Gift Box (800 tablets) Price @$26.95 How many Box(es) Total Price: ($26.95 x boxes) (FREE Shipping and Handling) 2. Greenshine Bottle (600 tablets) Price @$19.95 How many Bottle(s) Total Price: ($19.95 x bottles)
Total:
Name(required): Email Address(optional): Company(optional): Phone(required) : Mailing Address(required):
Payment:
1. By Check: Please write the check to "St. Louis Chinese News" and mail to 8601 Olive Blvd., Jeffrey Plaza, St. Louis , MO 63132
OR 2. By Credit Card: VISA | Master Card Card #: Expired Date: Card Holder Name: (Please allow 2 weeks to receive Greenshine to your home.)
For more info, please call 314/432-3858 or fax to 314/432-1217
(Thank you!)
