Mail / Fax Order Form
*Print this page, fill out all information, and send this form by mail or fax to:
hoodina.com
5390 Overpass Rd Ste B
Santa Barbara, CA 93111

FAX: 805-681-8201

Name:

Address:

City:

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 Zip:

Country:

Phone:

Email:

Select one

Money Order / Cashiers Check (Payable to hoodina.com in US$ only)

Visa / MasterCard / American Express (circle one)

Credit Card Number:

Expiration Date:

/  Signature: _________________________

Buy 2 bottles of hoodina Get 1 bottle Free
(Three Month Supply )

$179.85 $119.90

Buy 3 bottles of hoodina Get 2 bottle Free
(five Month Supply )

$299.75 $179.85

Buy 5 bottles of hoodina Get 4 bottle Free
(nine Month Supply )

$539.55 $299.75

Single bottle of hoodina

  $59.95

Special Bonus Offer: Detoxify
Advanced Cleansing & Weight Loss Formula
(30-Day Supply)

Subtotal:

$.

Shipping (US orders $9.95, international orders $24.95)

$.

Grand Total:

$.