Order Form
Click here to print
Please note: All prices in $NZ dollars
| Product | Code | Price (incl GST) | Quantity | SubTotal |
| First Alpha Lipid Colostrum - 60 Tablets | 6325 | NZ$57.25 | ______ | ____________ |
| First Alpha Lipid Colostrum - 60 Capsules | 6350 | NZ$48.70 | ______ | ____________ |
| First Alpha Lipid Colostrum - 120 Tablets | 6345 | NZ$92.75 | ______ | ____________ |
| First Alpha Lipid Colostrum - 120 Capsules | 6355 | NZ$81.30 | ______ | ____________ |
| Freight: |
NZ$8.00 |
|||
| TOTAL: |
____________ |
Delivery Details
Name: |
||
| Street: | ||
| Town/City: | ||
| State/Province: | ||
| Country: | ||
| Phone: | ||
| FAX: | ||
| e-Mail: | ||
| Other: | ||
Please print this form and along with your cheque, post to:
AlphaSouth Colostrum Products
C/- Bruce & Jenny Harrington
26 Gordon Terrace
Gore
Southland
New Zealand
Phone Intl: +64 3 208 9736
National: (03) 208 9736
Thank You!
Your order will be shipped as soon as the funds are cleared through our bank.