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Order Form

Cat#Product DescriptionCostOrder Quantity
 Skin Treatment   
OKC-1Oceanik Clay$29.95
  Pain Relief   
SNPRGSombra Natural Pain Relieving Gel$11.95
 Shoe Inserts & Heel Lifts  
SHN-1ShockNot Ultrathin - extra small$23.50
SHN-2ShockNot Ultrathin - small$23.50
SHN-3ShockNot Ultrathin - medium$23.50
SHN-4ShockNot Ultrathin- large$23.50
SHN-5ShockNot Ultrathin - extra large$23.50
SHN-6ShockNot Thin - extra small$23.50
SHN-7ShockNot Thin - small$23.50
SHN-8ShockNot Thin - medium$23.50
SHN-9ShockNot Thin - large$23.50
SHN-10ShockNot Thin - extra large$23.50
SHN-11ShockNot Thick - extra small$23.50
SHN-12ShockNot Thick - small$23.50
SHN-13ShockNot Thick - medium$23.50
SHN-14ShockNot Thick - large$23.50
SHN-15ShockNot Thick - extra large$23.50
NRG-1NR-GEE Heel Lift- Narrow -3mm$10.97
NRG-2NR-GEE Heel Lift- Standard -3mm$10.97
NRG-3NR-GEE Heel Lift- Narrow -5mm$10.97
NRG-4NR-GEE Heel Lift- Standard -5mm$10.97
NRG-5NR-GEE Heel Lift- Narrow -7mm$10.97
NRG-6NR-GEE Heel Lift- Standard -7mm$10.97
NRG-7NR-GEE Heel Lift- Narrow -9mm$10.97
NRG-8NR-GEE Heel Lift- Standard -9mm$10.97
NRG-9NR-GEE Heel Lift- Narrow -12mm$12.97
NRG-10NR-GEE Heel Lift-Standard-12mm$12.97

Shipping total will vary depending on quantity of each item shipped (differing products are shipped separately from different locations). You will receive an email confirmation (usually within 24 hours) concerning your order. Your confirmation will include the shipping total.

Billing Information

*Last Name (as it appears on the card):

*First Name:

MI:

*Daytime Phone number:

*Email Address: (for order verification only)

*Billing Address:

*City:

*State/Province: (Enter 0 if none)

*Country

*Zip/Postal Code: (Enter 0 if none)


Shipping Information

Last Name (if different from billing name):

First Name:

MI:

Address (if different from billing address):

City:

State/Province:

Country:

Zip/Postal Code:


* Visa MasterCard Discover American Express
*Card Number:
*Exp Date:

All (*) fields must be completed for order to be processed.



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If you would rather not use the Internet to transact, please feel free to call Low Overhead Productions at our phone number
1-720-684-6620
10:00am to 6:00pm MST Mon - Sat and use your Visa, Mastercard, Discover, or American Express.
If you get our answering machine, please leave a message and we will return your call.
Thank you very much.


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© 2003 by Low Overhead Productions
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