www.greensforlife.co.nz - Order Form

For those who wish to pay via Cheque or Money Order, please print this page, complete the
Order Form, and mail with payment.

Name:
Address:
City:                                                                         Country:                                                                      Zip:
Phone:                                                                    Email Address:
 

ITEM #

ITEM DESCRIPTION

QUANTITY

PRICE

TOTAL
HGH101 HGH Plus 4 Mth Supply (3 Bottles)   NZ$380.00 $
GFL101 Greens for Life   NZ$65.00 $ 
         

SHIPPING COSTS (INCLUDES PACKAGING)

 Merchandise Subtotal $ 
NEW ZEALAND: ADD NZ$5.00 ADD SHIPPING COSTS $ 
AUSTRALIA: ADD NZ$10.00    
SINGAPORE: ADD NZ$20.00    
REST OF WORLD: ADD NZ$20.00
TOTAL
 $
SPECIAL INSTRUCTIONS:
Please Make Cheque Payable To:
RCCT Holdings Ltd, PO BOX 40, Kaiapoi, North Canterbury, New Zealand.
Phone 64 3 3273231