intraMin by Drucker Labs
ORDER FORM FOR CANADIAN RESIDENTS




Prices include Shipping, Handling and Taxes
Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Country*
Home Phone*
Name As It Appears on Credit Card*
Credit Card Number*
CCV # (last 3 digits on back of card)*
Expiration date*
Credit Card Type*
Visa
Mastercard
Amount of Purchase Being Authorized*
Confirm product selection:*
Intramax - Peach Mango Flavour
IntraKid - Raspberry Flavour
IntraMin - Tropical Fruit Flavour
IntraMin - Natural Unflavoured
IntraMin
- Bottle orders
1x 34oz bottle - $94
2x 34oz bottles - $178
3x 34oz bottles - $258
6x 34oz bottles - $492
IntraMin
- Monthly Autoship
1x 34oz Bottle shipment per month @ $84
2x 34oz Bottle shipment per month @ $160
1x case (12 x 34oz) bottles per month @ $575
IntraMin
6 x 2oz bottles - n/a
12 x 2oz bottles - n/a
IntraMin - Case orders
1 case (12 x 34oz bottles) @ $649
2 cases(24 x 34oz bottles) @ $1,217
5 cases(60 x 34oz bottles) @ $2,930
Custom order requests can be submitted here and we will provide a quote/response within 24 hours.

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