Cart 0
 

Tauri-Gum™ MAIL ORDER FORM


Mail Order Form To:
Tauriga Sciences Inc. Attn: Seth M. Shaw (CEO) 555 Madison Avenue 5th Floor New York, NY 10022
Or Email Order Form to: sshaw@tauriga.com
Tauri-Gum™
8 GUM TABLET BLISTER PACK QTY _________
Individual Tauri-Gum™ Blister Pack ($17.99 per Pack)
If QTY Ordered = 1 Please add $2.99 to Total for Shipping If QTY Ordered is Greater than 1 SHIPPING IS FREE
Tauri-Gum™ RETAIL BOX (10 BLISTER PACKS IN TOTAL) QTY _________
Retail Box - Includes 10 Blister Packs - ($179.99 per Box) FREE SHIPPING ALWAYS
TOTAL:
QTY ______ Blister Pack(s) + $2.99 Shipping (If Order is 1 Pack) QTY ______ Retail Box (Free Shipping)
Total: ______________
(Please Enclose Check or Money Order)
Shipping Info: Name: Address:


Tel. #:
Thank you for your Business