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Auto-ship Order Form

 

Your First Name:

 Your Last Name:
Sponsor's Full Name:
 Sponsor's User Name:
Shipping Street Address:
City:
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 Zip:
Phone Number:
 		Email Address:
Billing Street Address: (if different from shipping address)
City:
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Choose initial purchase of RhodiGandha

The 4 bottle cases are $129.95 each plus shipping of $16.95 each
One $146.90  Two $293.80

Or purchase by the bottle
One $69.90 ($59.95 + $9.95S/H)  Two $99.90 ($86.95 + $12.95S/H)

 

Choose auto-ship purchase of RhodiGandha
The 4 bottle cases are $129.95 each plus shipping of $16.95 each.
One $146.90 Two $293.80

Or purchase by the bottle
One $69.90 ($59.95 + $9.95S/H) Two $99.90 ($86.95 + $12.95S/H)

No Auto-Ship $0.00

VISA or Master Card Information
Card Number:
 		Exp Date:
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I understand that I am signing up for a monthly autoship order of 1 or 2 cases of RhodiGandha every month as indicated above.  If I would like to change my autoship I can do so once we go into pre-launch through the back office or by sending an email to orders@RhodiGandha.com. 

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