Special Offer: Z-tropin™ and GHR1000 - Mail Order Form
Please print this form, enter the required information and mail to:
Austin Research Institute
Order Dept # SPC-ZTR
P.O. Box 922
Hampstead, MD 21074
USA
ORDER SIZE OPTIONS
The following are special pricing options for Z-tropin™/GHR1000 (please circle one):
Only $235.90 total cost: (1) bottle of Z-tropin + (3) bottles of GHR1000
Only $359.89 total cost: (3) bottles of Z-tropin + (3) bottles of GHR1000
Only $467.93 total cost: (5) bottles of Z-tropin + (3) bottles of GHR1000
Only $587.92 total cost: (7) bottles of Z-tropin + (3) bottles of GHR1000
Maryland residents please add 6.0% sales tax. All prices are in U.S. Dollars. Limit 3 bottles of GHR1000 per order.
Each bottle of GHR1000 contains a 30 day supply. Each bottle of Z-tropin contains a 60 day supply.
PAYMENT OPTIONS
We accept the following forms of payment (U.S. funds only):
cash
money orders
cashier's checks
Note: We do not accept personal checks or COD's. All prices are in U.S. Dollars. We only accept U.S. Funds.
Please make your money order payable to: Austin Research Institute
CUSTOMER SHIPPING INFORMATION
FULL NAME: ____________________________________________________
STREET ADDRESS: _______________________________________________
CITY, STATE, ZIP: _______________________________________________
Note: Your daytime telephone number is needed in the event that FedEx has to contact you regarding delivery.
Your email address is needed in the event that we must contact you regarding your order. All of your information will remain
completely confidential and will not be sold or given to anyone.
AGE VERIFICATION
I hereby certify that I am at least 18 years of age.