DrNatura.com Order Form
 Please check the quantity you'd like to order for each product, and fax (1-800-563-6803)
or mail this form to DrNatura.com. Prices shown here already include the discounts.
 DrNatura Natural Supplements

Item

BUY 1

BUY 2

BUY 3
. . . . .
Colonix Program
[Colonix fiber + Paranil + KleriTea]
8888
$88.00
$138.00
$177.00
Toxinout Program
[Toxinout + DetoxiGreen + FloraProtect]
8855
$52.80
$105.60
$158.40
Kidetox Program
[Kidetox + Paranil Jr. + Flora Protect Jr.]
8872
$52.80
$105.60
$158.40
Colonix Intestinal Cleanser
360 grams
8887
$32.00
$53.00
$69.00
Digestaid
120 Vcaps
8862
$24.98
$39.96
$52.44
Flora Protect Probiotics
60 Vcaps
8867
$28.00
$44.80
$58.80
Flora Protect Jr.
60 Chewable Tablets
8869
$24.00
$38.40
$49.95
Immune Protect
60 Tablets
8852
$24.98
$39.96
$52.44
Kidetox
8 fl. oz.
8870
$32.00
$53.00
$69.00
KleriTea
30 Teabags
8885
$24.00
$39.00
$51.00
DetoxiGreen
90 Vcaps
8858
$28.00
$44.80
$58.80
Toxinout
110 Capsules
8859
$35.00
$56.00
$73.50
Paranil
110 Vegicaps
8886
$32.00
$53.00
$69.00
Paranil Jr. for Kids
8 fl. oz.
8884
$32.00
$53.00
$69.00
Sovereign Silver
8 fl. oz. Colloidal Silver liquid
8845
$34.00
$59.50
$79.90
       
Colonix Program + Toxinout Program $140.80
     Save 40% on Toxinout 		$243.60
     Save 40% on Toxinout 		$335.40
     Save 40% on Toxinout
         

                                         Subtotals $______________ + Shipping $________ = TOTAL$_______
 

I am paying for my order with a Check,   Money Order,   Credit Card.

First Name:________________________ Last Name:_________________________

Street address:______________________________________________Apt.#______

City:_______________________________________ State/Province:_____________

ZIP/Postal Code:___________________ Tel: (________)_______________________

Email: ______________________________________________________________

Credit Card #:_________________________________________________________

EXP:______/______         CCV # __________ (Credit Card Verification Number)

Billing address if different from shipping: _________________________________

________ ___________________________________________________________

Please Print & Mail your order to the following address:
DrNatura.com
200 North Cobb Parkway
Building 400, Suite 432
Marietta, GA 30062
Email: customerservice@drnatura.com

Shipping Charges

FREE Ground shipping
for orders over $200.00 to the continental United States

 UPS Ground
(Continental US only): $5.00

 UPS 2nd Day Air
(Continental US only): $19.95

UPS Next Day Air
(Continental US only): $32.50

Alaska, Hawaii, Puerto Rico,
Virgin Islands: $9.95

Canada Global Express: $14.95