for Mexican Customers
HOW TO NAVIGATE THIS ORDER FORM:
Use the "Tab" key on your keyboard
(located to the left of the letter "Q") OR use your mouse
to move the cursor over each box and click on the left mouse button.
Do NOT use the "Enter" key. Pressing the "Enter" key will
submit this form to NATURE DOC regardless of whether you have finished
entering all the information that you wanted or not!
NOTE: If you are a REPEAT
customer, and you would like to use the same mailing address and payment
information that you submitted previously, then select the products
that you want to order and provide us with your name, e-mail address
and phone number and we will take care of the rest. Please check the
following box too:
I AM A REPEAT CUSTOMER!
SEACURE®, 180 capsules per
bottle, 500 mg each.
SEAVIVE®, 90 capsules per bottle,
500 mg each.
INTESTIVE®, 120 capsules per
box, 500 mg each.
Pricing for SEACURE®
is as follows:
1 bottle for US $29.95,
2 bottles for US $57.90 (US $28.95
3 bottles for US $83.85 (US $27.95
4 bottles for US $107.80 (US $26.95
5 bottles for US $129.75 (US $25.95
Pricing for SEAVIVE®
INTESTIVE® is as follows:
1 bottle or box for US $26.95,
2 bottles or boxes for US $51.90 (US
3 bottles or boxes for US $74.85 (US
4 bottles or boxes for US $95.80
(US $23.95 each)
5 bottles or boxes for US $114.75 (US
We will mix orders and give you the volume discount. For example, order
2 bottles SEACURE® of and 1
box of INTESTIVE® and receive
all 3 for the price of US $80.85 (2
bottles of SEACURE®
at US $27.95 each and 1 box of INTESTIVE®
at US $24.95) with US Express Mail shipping for US $12.00.
NOTE: All fields marked with an
* are REQUIRED!
First Name *
Last Name *
e-mail address *
Address Line1 *
Postal Number *
Work Phone Number
Home Phone Number
Fax Phone Number
If you order 3, 4 or 5 bottles of SEACURE®
or SEAVIVE® or
3, 4 or 5 boxes of INTESTIVE®,
the cost for US Postal Service Express Mail delivery for you
order is US $12.00
(delivery in 5 to 7 days). UPS Worldwide Express costs US
$33.00 (delivery in 4 to 5 days).
If you order 2 bottles of SEACURE®
or 2 boxes of
INTESTIVE®, the cost of US Postal Service
Express Mail delivery for you order is US
$15.00. UPS Worldwide
Express delivery costs US $37.00.
If you order 1 bottle of SEACURE®
or 1 box of INTESTIVE®,
the cost of US Postal Service Express Mail delivery for you order
is US $18.00. UPS Worldwide
Express delivery costs US $40.00.
We also offer US Postal Service International Air Mail delivery
for your order. We do NOT recommend
US Postal Service International Air Mail becuase it is NOT insured
and cannot be traced! Delivery time is usually 3 to 4 weeks. The cost
for US Postal Service International Air Mail delivery is US
$10.00. You must accept ALL
the risk associated with sending your order to you via US Postal Service
International Air Mail. If your order is lost or damaged, you agree
to pay us for your order!
What type of shipping do you want?
Credit Card Type: (select one)
Credit Card Number:
Name of the person as it appears on the credit card:
I DO NOT WANT TO PROVIDE MY CREDIT CARD INFORMATION ONLINE. I AM CALLING
IN WITH MY PAYMENT INFORMATION!
Call 808-330-9781 to leave your
credit card information.
YOU MUST CLICK ON THE "Send Order" BUTTON TO COMPLETE YOUR PURCHASE!
Please click only once!
Please be patient! Sometimes the response is slow when internet traffic
© 1999-2005 Seacure-Protein. All Rights
SEACURE® is a registered trademark
of Proper Nutrition, Inc.