Flex-Away System mail order form

Hanna Ibes, Inc.
1011 S. Thompson St.
Jackson, Michigan 49203

Please enter your contact information:

Name_______________________________________     Date_____________________

 

Address___________________________________________________________________

 

City________________________________ State_______________ Zip____________

 

Phone#________________________________

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Qty.

Product name

Price

Total

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Regular kit includes ONE mouthpiece in carrying case and six months supply of regular bands.

$49.00

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Same as above but with TWO flexing devices to share with another person in household.

$59.00

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Six months supply of regular bands

$9.95

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.Six month supply of heavier bands for advanced users .

$9.95

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Six month supply of Lip-Guard protection against pucker lines on upper lip. (OPTIONAL - does not affect overall result of flexing.) $9.95

 Shipping Chart

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Less than or equal to $100.00

$8.95

.Sub Total

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Over $100

FREE

Michigan Residents add 6% tax

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.Shipping (see chart)

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Please make all checks or money orders out to HANNA IBES, INC. All orders will be held until check/money order has cleared. After clearing, orders will be promptly shipped.  Thank you for your order. Hanna Ibes, Inc.1011 S. Thompson St. Jackson, Michigan 49203

 

Copyright Hanna Ibes, Inc., 2007
All rights reserved.

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