You can order your "ALL-IN-ONE" All-Natural Multipurpose Protectant Polish by :
A ) Printing/Filling out this order form and mailing your check or money order
( made out to : HEALTHY CLEAN BUILDINGS ) to the following address :
Healthy Clean Buildings, 4 Wilmington Drive, Melville, New York, 11747 ;
B ) We Accept Payments Online Through Our SECURED Electronic Banking System
Click "PAYPAL" Icon !
We Accept These Credit Cards Through "PAYPAL" :
YOU CAN CHARGE YOUR CREDIT CARD
( Visa, Master Card, Discover, American Express )
through "PAYPAL" - or - electronically transfer your personal/business funds from
your "PAYPAL" account to ours;
-- OR --
C ) CALL US at 631 . 643 . 1882 ... and, Discuss Your Method of Payment with Us .
Upon Receipt of Payment, Shipment Will Go Out within 5-7 BUSINESS DAYS.
ORDER FORM
YOUR SHIPPING ADDRESS :
Your Name :_______________________________________________
( if applicable ) Name of Business or School :_________________________
Street Address :______________________________________________ City: __________________________State:_________ Zip Code: ________ Telephone: ( ) ________________ E-mail Address
: ________________ ( Check One ) ___ OPTION # 1 ___ OPTION # 2
___ OPTION #
3 = TOTAL : $____
( Check One ) METHOD OF PAYMENT : ____Business/Personal Check ____ PAYPAL
WORK SHEET
Choose from one of these three ( 3 ) options :
OPTION # 1 :
ONE ( 1 ) TRIAL COMBO-SCENT PACK :
2 / Eight ( 8 oz. ) bottles of
ANY TWO SCENTS per pack
MIX-N-MATCH :
Unscented, Vanilla, or Mango
Good for approx. 200 applications
+ ONE ( 1 ) FREE 100 % Cotton "Furniture Polish Applicator"
DESCRIPTION :QUANTITY : X UNIT PRICE : = SUB-TOTAL :
ONE ( 1 ) TRIAL UNI-SCENT PACK :
2 / Eight ( 8 oz. ) bottles of
THE SAME SCENT per pack
CHOOSE YOUR FAVORITE SCENT :
Unscented, Vanilla, or Mango
Good for approx. 200 applications
+ ONE ( 1 ) FREE 100 % Cotton "Furniture Polish Applicator"
DESCRIPTION :QUANTITY : X UNIT PRICE : = SUB-TOTAL :
ONE ( 1 ) STANDARD CASE :
6 / Eight ( 8 oz. ) bottles of
THE SAME SCENT per pack
CHOOSE YOUR FAVORITE SCENT :
Unscented, Vanilla, or Mango
Good for approx. 600 applications
+ ONE ( 1 ) FREE 100 % Cotton "Furniture Polish Applicator"
DESCRIPTION :QUANTITY : X UNIT PRICE : = SUB-TOTAL :
Option # 3 :
STANDARD
SAME SCENT
CASE
( 6/8 oz.btles ) __________ X $118.80 /per PACK = ___________
FRAGRANCE CHOICE : __________
+ ADD $8.00 SHIP/HANDLING CHARGES TO EACH ORDER = ___$8.00___
+ ( IF APPLICABLE ) ADD NEW YORK STATE SALES TAX = __________
