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IonicMinerals.com • 3531 W. Glendale Avenue
#266 • Phoenix, Arizona 85051
• Phone: (623)-873-8080 •
• Fax: (603)-415-9246 •
• E-Mail: questions@ionicminerals.com
•
(Please Print)
See **NOTE** at bottom of page!
Name
_______________________________________________________________________________________
Address
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City _________________________ State/Province ______________ Zip __________ Country
_________________
Telephone: Home ______________________________________ Work
___________________________________
E-Mail Address
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Don't want to print out the large order form? For a compact, blank order form CLICK HERE!
| Item | Description | Quantity | Unit Price | Subtotal |
IMBO1 |
Boron Ionic Mineral Water (16oz.) | $25.00 | ||
| IMBO2 | Boron Ionic Mineral Water (32oz.) | $40.00 | ||
| IMBO3 | Boron Ionic Mineral Water (1 gal.) | $70.00 | ||
IMCA1 |
Calcium Ionic Mineral Water (16oz.) | $25.00 | ||
| IMCA2 | Calcium Ionic Mineral Water (32oz.) | $40.00 | ||
| IMCA3 | Calcium Ionic Mineral Water (1 gal.) | $70.00 | ||
IMCR1 |
Chromium Ionic Mineral Water (16oz.) | $25.00 | ||
| IMCR2 | Chromium Ionic Mineral Water (32oz.) | $40.00 | ||
| IMCR3 | Chromium Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMCO1 | Cobalt Ionic Mineral Water (16oz.) | $25.00 | ||
| IMCO2 | Cobalt Ionic Mineral Water (32oz.) | $40.00 | ||
| IMCO3 | Cobalt Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMCP1 | Copper Ionic Mineral Water (16oz.) | $25.00 | ||
| IMCP2 | Copper Ionic Mineral Water (32oz.) | $40.00 | ||
| IMCP3 | Copper Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMG1 | Gold Ionic Mineral Water (16oz.) | $25.00 | ||
| IMG2 | Gold Ionic Mineral Water (32oz.) | $70.00 | ||
| IMG3 | Gold Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMGR1 | Germanium Ionic Mineral Water (16oz.) | $25.00 | ||
| IMGR2 | Germanium Ionic Mineral Water (32oz.) | $70.00 | ||
| IMGR3 | Germanium Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMIO1 | Iodine Ionic Mineral Water (16oz.) | $25.00 | ||
| IMIO2 | Iodine Ionic Mineral Water (32oz.) | $70.00 | ||
| IMIO3 | Iodine Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMFE1 | Iron Ionic Mineral Water (16oz.) | $25.00 | ||
| IMFE2 | Iron Ionic Mineral Water (32oz.) | $70.00 | ||
| IMFE3 | Iron Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMM1 | Magnesium Ionic Mineral Water (16oz.) | $25.00 | ||
| IMM2 | Magnesium Ionic Mineral Water (32oz.) | $40.00 | ||
| IMM3 | Magnesium Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMMN1 | Manganese Ionic Mineral Water (16oz.) | $25.00 | ||
| IMMN2 | Manganese Ionic Mineral Water (32oz.) | $40.00 | ||
| IMMN3 | Manganese Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMP1 | Platinum Ionic Mineral Water (16oz.) | $25.00 | ||
| IMP2 | Platinum Ionic Mineral Water (32oz.) | $40.00 | ||
| IMP3 | Platinum Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMK1 | Potassium Ionic Mineral Water (16oz.) | $25.00 | ||
| IMK2 | Potassium Ionic Mineral Water (32oz.) | $40.00 | ||
| IMK3 | Potassium Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMSE1 | Selenium Ionic Mineral Water (16oz.) | $25.00 | ||
| IMSE2 | Selenium Ionic Mineral Water (32oz.) | $40.00 | ||
| IMSE3 | Selenium Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMSV1 | Silver Ionic Mineral Water (16oz.) | $25.00 | ||
| IMSV1 | Silver Ionic Mineral Water (32oz.) | $40.00 | ||
| IMSV3 | Silver Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMSF1 | Sulfur Ionic Mineral Water (16oz.) | $25.00 | ||
| IMSF2 | Sulfur Ionic Mineral Water (32oz.) | $40.00 | ||
| IMSF3 | Sulfur Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMT1 | Tin Ionic Mineral Water (16oz.) | $25.00 | ||
| IMT2 | Tin Ionic Mineral Water (32oz..) | $40.00 | ||
| IMT3 | Tin Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMV1 | Vanadium Ionic Mineral Water (16oz.) | $25.00 | ||
| IMV2 | Vanadium Ionic Mineral Water (32oz..) | $40.00 | ||
| IMV3 | Vanadium Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMWL1 | Water Of Life Ionic Mineral Water (16oz.) | $25.00 | ||
| IMWL2 | Water Of Life Ionic Mineral Water (32oz.) | $40.00 | ||
| IMWL3 | Water Of Life Ionic Mineral Water (1 gal.) | $70.00 | ||
| IMZ1 | Zinc Ionic Mineral Water (16oz.) | $25.00 | ||
| IMZ2 | Zinc Ionic Mineral Water (32oz.) | $40.00 | ||
| IMZ3 | Zinc Ionic Mineral Water (1 gal.) | $70.00 | ||
| Comments: | TOTAL: | |||
Shipping and Handling |
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USA |
International All Items: Shipping will be determined by Weight and Country. Please email for final shipping charges. |
Thank you |
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***NOTE***
Checks and money orders will only be accepted made out to Scot Brown.
Please be sure to spell correctly.
When mailing, please pay for all orders in cash, check or money order.