BioSynergy Health Alternatives Secure On-line Order Form
PRODUCTS - Please indicate the quantity below. ID Product Price Quantity Info. BIO1031 5-HTP 50 mg (90 capsules) Sale $16.68 (Reg. $25.95) 5-HTP BIO1032 5-HTP 100 mg (90 capsules) Sale $24.96 (Reg. $36.95) 5-HTP BIO1801 Acetyl-l-Carnitine 500 mg (120 vegetarian capsules) Sale $28.99 (Reg. $47.98) Acetyl-l-Carnitine BIO2001 Acetyl-l-Carnitine 500 mg & R-Alpha Lipoic Acid 100 mg Combination Pack(one bottle of Acetyl-l-Carnitine & one bottle of R-Alpha Lipoic Acid) Sale $43.91 (Reg. $82.27) Acetyl-l-Carnitine & R-Alpha Lipoic Acid Combination Pack BIO1201 Alpha-GPC 250 mg (60 capsules) Sale $27.84 (Reg. $33.40) Alpha-GPC BIO1401 BioAssimilate (90 capsules) Sale $8.99 (Reg. $21.95) BioAssimilate BIO1071 BioDiet Plus (120 capsules) Sale $24.98 (Reg. $36.95) BioDiet Plus BIO1081 BioEndurance (90 capsules) Sale $43.60 (Reg. $85.15) BioEndurance BIO1501 Comprehensive Hangover Prevention (60 capsules) Sale $18.95 (Reg. $24.95) CHP BIO1011 DHEA 25 mg (90 capsules) Sale $13.95 (Reg. $18.95) DHEA BIO1012 DHEA 50 mg (60capsules) Sale $14.95 (Reg. $19.95) DHEA BIO1601 Glucosamine Chondroitin MSM (90 capsules) Sale $16.95 (Reg. $24.95) Glucosamine Chondroitin MSM BIO2101 Hyaluronic Acid & OptiMSM® (120 vegetarian capsules) Sale $28.95 (Reg. $48.61) Hyaluronic Acid & OptiMSM® BIO1301 IGF-1 HGH Deer Antler Velvet Extract (93 servings) Sale $29.98 (Reg. $49.98) IGF-1 HGH BIO1001 L-theanine 100 mg (90 capsules) Sale $18.95 (Reg. $27.95) L-theanine BIO1002 L-theanine 200 mg (90 capsules) Sale $28.95 (Reg. $54.95) L-theanine BIO1051 LIBIDOBLAST (90 capsules) Sale $21.95 (Reg. $36.95) LIBIDOBLAST BIO1701 Melatonin Sublingual 2.5 mg (60 tablets) Sale $5.95 (Reg. $9.95) Melatonin BIO1061 NEURO CLEAR (120 capsules) Sale $31.95 (Reg. $44.95) NEURO CLEAR BIO2201 Omega-3 Fish Oil Molecularly Distilled Enteric Coated (120 softgels) Sale $15.95 (Reg. $22.44) Omega-3 Fish Oil BIO1021 Pregnenolone 10 mg (90 capsules) Sale $11.95 (Reg. $16.95) Pregnenolone BIO1022 Pregnenolone 25 mg (90 capsules) Sale $13.95 (Reg. $19.95) Pregnenolone BIO1901 R-Alpha Lipoic Acid 100 mg (120 capsules) Sale $26.99 (Reg. $57.98) R-Alpha Lipoic Acid BIO1041 St. John's Wort 300 mg (90 capsules) Sale $10.95 (Reg. $17.95) St. John's Wort BIO9000 BioSynergy Travel Pouch $3.00 Travel Pouch BIO9001 BioSynergy Travel Pouch 5 pack $12.50 Travel Pouch BIO9002 BioSynergy Travel Pouch 10 pack $20.00 Travel Pouch SHIPPING - Please check one US: Priority Mail $5.50 2nd day $15.00 Next day $25.00 Free Priority Mail shipping for orders $85.00 or more (US only) International: Air Mail $12.50 SHIP TO Name : Address : City : State or Province : Zip or Postal Code : Country : Phone number : BILL TO (if different from above) Name : Address : City : State or Province : Zip or Postal Code : Country : Phone number : PAYMENT Credit Card Type - Please check oneVisa Mastercard American Express Discover Name on the card (card holder's name) : Card number : Expiry date(MM/YY) :
SHIPPING - Please check one US: Priority Mail $5.50 2nd day $15.00 Next day $25.00 Free Priority Mail shipping for orders $85.00 or more (US only) International: Air Mail $12.50 SHIP TO Name : Address : City : State or Province : Zip or Postal Code : Country : Phone number : BILL TO (if different from above) Name : Address : City : State or Province : Zip or Postal Code : Country : Phone number : PAYMENT Credit Card Type - Please check oneVisa Mastercard American Express Discover Name on the card (card holder's name) : Card number : Expiry date(MM/YY) :
International: Air Mail $12.50