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SECURE Order Form
for US Territories/Associations

      
817-607-8531

REPEAT CUSTOMERS: If you have ordered from us before, please click -->>HERE<<-- to refresh this page in your web browser because this page has been recently updated. Thanks!

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!

ORDERING INFORMATION:

Quantity
SEACURE®, 180 capsules per bottle, 500 mg each.
SEAVIVE®, 90 capsules per bottle, 500 mg each.
INTESTIVE®, 120 capsules per box, 500 mg each.
SEACURE® for pets, 100 grams per container with a 1/4 teaspoon scoop for easy dosing.
SEACURE® for pets, 500 grams per container without a 1/4 teaspoon scoop.
SEACURE® for pets Chewables, 120 chewable tablets per container.

Pricing for SEACURE® in bottles is as follows:
1 bottle for $29.95 USD,
2 or 3 bottles for $28.95 USD each,
4 or 5 bottles for $27.95 USD each,
6 bottles for $26.95 USD each and
12 bottles (1 case) for $25.95 USD each.

Pricing for INTESTIVE® in boxes is as follows:
1 box for $29.95 USD,
2 or 3 boxes for $28.95 USD each,
4 or 5 boxes for $27.95 USD each,
6 boxes for $26.95 USD each and
12 boxes (1 case) for $25.95 USD each.

Pricing for SEAVIVE® is as follows:
1 bottle for $26.95 USD,
2 or 3 bottles for $25.95 USD each,
4 or 5 bottles for $24.95 USD each,
6 bottles for $23.95 USD each and
12 bottles (1 case) for $22.95 USD each.

Pricing for SEACURE® for pets, 100 gram containers and SEACURE® for pets Chewables, 120 chewable tablet containers is as follows:
1 container for $27.95 USD,
2 or 3 containers for $26.95 USD each,
4 or 5 containers for $25.95 USD each,
6 containers for $24.95 each and
12 containers (1 case) for $23.95 USD each.

Pricing for SEACURE® for pets, 500 gram containers is as follows:
1 container for $109.95 USD. Sorry NO volume discounts on this product!

CUSTOMER INFORMATION:

NOTE: All fields marked with an * are REQUIRED!

Billing Address for your credit card:

First Name *
Last Name *
Address Line1 *
Address Line2
City *
Country *
Zip Code *

Shipping Address (enter information only if different from billing address above):

First Name
Last Name
Address Line1
Address Line2
City
Country
Zip Code

Contact Information: (We do "NOT" share this information with 3rd parties!)
e-mail address * (will send e-mail confirmation)
Home/Work Phone Number * (We need 1 contact phone number!)
Optional Contact Phone Number (Cell phone, etc.)

PAYMENT INFORMATION:

You can pay for your order with any major credit card (VISA, MasterCard, American Express or Discover).

CREDIT CARD PAYMENTS

Credit Card Type: (select one)
Visa MasterCard American Express Discover
Credit Card Number:
Expiration Date:
Name of the person as it appears on the credit card:
(REQUIRED)

Comments/Suggestions:


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Please click only once!



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SEACURE® is a registered trademark of Proper Nutrition, Inc.

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