Healthy Head To Toe

Order Form

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