Order Form

* = required fields

Name:	*
Mailing Address:	*
Delivery Address: (If different from mailing address)
Email Address:	*
(It is important that you fill in your e-mail address in case we need to contact you with regards to shipping or billing information)
Home Phone:	(123-456-7890) *

Is this the first time you have purchased any of our products?
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Where did you hear about us?

I would like to order the following product:

EVA For People:

EVA Performance 30/500mg capsules: Case Price (6 + bottles) $18.00/bottle	Qty:	$21.00/bottle
EVA Arthritis Capsule 30/500mg capsules: Case Price (6 + bottles) $18.00/bottle	Qty:	$21.00/bottle
EVA Ener-Caps 30/280 mg capsules: Case Price (6 + bottles) $12.50/bottle	Qty:	$13.50/bottle

EVA For Pets:

Nutri-EVA - powder for pets:
17 gm bottle: Case Lot prices (6+ bottles) $15.00/bottle	Qty:	$16.00/bottle
125 gm tub: Case Lot prices (3+ tubs): $89.00/tub	Qty:	$99.00/tub
Velvet Chips - 27 gm package:	Qty:	$14.95/bag
Wapiti Gnaws:	Qty:	$2.75 each

Other Products

Tanned Elk Leather (full hides only):	Qty:	$6.00/sq. ft
Elk Antler Slices:	Qty:

Comments/Notes

(If requesting Elk Antler Slices, someone will be in contact with you within 3 days of submission of this form to discuss pricing)

Preferred Method of Payment?

Cash

Credit Card*

Cheque**

Money Order

C.O.D.

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*Master Card and Visa only. Someone will contact you to process the order
.**Proper identification such as Driver's License Number or Credit Card Number will be required with cheque

Thank you for your order!

Please allow up to 10 days for delivery. Freight charges are not included in prices.