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Order Form (printable)

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    Pi Pharma, Inc.     ORDER FORM  
          rev. 8/23/16  
             
  198 Twin Branch Road, Campton, KY 41301 USA     info@pipharma.com  
  (800) 246-6333 (800-BIO-NEED)   (customer service 8-5 EST)   naturesextra.com  
  (606) 725-4201 (local)   (606) 725-4202 (Fax)     10% discount case qty. (12)  
             
QTY. Product Name / Description Size Price TOTALS  
______ Argentia™ colloidal silver solution, 50 ppm 2 oz $7.95 _________  
______ Argentia™ colloidal silver solution, 50 ppm 8 oz $11.95 _________  
______ Argentia™ colloidal silver solution (refill size), 50 ppm 32 oz $40.95 _________  
______ Argentia™ colloidal silver solution (refill size), 50 ppm 1 gal $139.95 _________  
______ Argentia™ Max 400 colliodal silver solution, 400 ppm 2 oz $14.95 _________  
______ Argentia™ Max 400 colliodal silver solution, 400 ppm 8 oz $45.95 _________  
______ Liqui Pyc™Pycnogenol® solution, 37.5 mg/teaspoon (5 mL) 8 oz $25.95 _________  
______ Liqui Pyc™Pycnogenol® solution, 37.5 mg/teaspoon (5 mL) 32 oz $89.95 _________  
______ Liqui Pyc™Max 125 Pycnogenol® solution, 125 mg/teaspoon (5 mL) 2 oz $26.95 _________  
______ R & R™ deep sleep promotion therapy powder 70 g $23.95 _________  
______ R & R™ deep sleep promotion therapy powder 140 g $38.95 _________  
______ R & R with Hempseed™ deep sleep promotion therapy powder 200 g $43.95 _________  
______ Opti-HA™ Powder-to-Liquid hyaluronic acid joint support 7.6 oz $39.95 _________  
______ Joint Therapy™ Powder glucosamine-chondroitin-MSM-HA joint help 4 oz $19.95 _________  
______ Joint Therapy™ Powder glucosamine-chondroitin-MSM-HA joint help 8 oz $32.95 _________  
______ Joint Therapy™ Powder glucosamine-chondroitin-MSM-HA joint help 16 oz $53.95 _________  
______ Argentia™ Vet colloidal silver solution (for animals), 50 ppm 8 oz $11.95 _________  
______ Argentia™ Vet colloidal silver solution (for animals), 50 ppm 32 oz $40.95 _________  
______ Argentia™ Vet colloidal silver solution (refill size) (for animals), 50 ppm 1 gal $139.95 _________  
______ Argentia™ Max 400 Vet colloidal silver solution (for animals), 400 ppm 8 oz $45.95 _________  
______ Liqui Pyc™Vet Pycnogenol® solution, 37.5 mg/teaspoon (5 mL) 8 oz $25.95 _________  
______ Joint Therapy™ Vet Powder glucosamine-chondroitin-MSM-HA joint 1 pound $53.95 _________  
______ Hyaluronan 0.5% Cream sodium hyaluronate natural cream 1 oz $7.95 _________  
______ Hyaluronan 0.5% Cream sodium hyaluronate natural cream 2 oz $12.95 _________  
______ Emu Oil Therapy™ pure, pharmaceutical grade Emu Oil 1 oz $16.95 _________  
______ Emu Oil Therapy™ pure, pharmaceutical grade Emu Oil 4 oz $49.95 _________  
______ Argentia™ Silver Cream colloidal silver/tea tree healing topical 2 oz $11.95 _________  
______ Moisture Care™ hypoallergenic moisturizing lotion 4 oz $8.95 _________  
______ Moisture Care™ hypoallergenic moisturizing lotion 8 oz $14.95 _________  
______ Moisture Care™ hypoallergenic moisturizing lotion 16 oz $21.95 _________  
______ Cutis Care™ anti-wrinkle, anti-aging, pentapeptides cream 1 oz $59.95 _________  
      SubTotal   _____________  
Pi Pharma, Inc. dba Nature's Extra Add $7.95 if order is under $50   _____________  
198 Twin Branch Road Add 6% Kentucky sales tax (if in KY)   _____________  
Campton, KY 41301 TOTAL   _____________  

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