716 Schilling Dr
Dyer, IN 46311
877-215-7740
www.cweb-goodhealth.com
PRODUCT ORDER FORM
Please print this form and fill out your order.
Mail form with your check made out to CWEB Inc.
First Name:______Last Name:______
Company/Organization:______
Billing Address:______
City:______State:______Zip:______
Phone:______Fax:______
Email:______
If you are shipping to a different address than above:
Shipping Address:______
City:______State:______Zip:______
PRODUCTS
Alen – 750 Gram Box (50 individual packets)
Price: $50 Qty:______Cost:______
Alen – 1 Kilogram Bag (No packets; 1 large bag)
Price: $50 Qty:______Cost:______
Eveliza – 800 Gram Box (40 individual packets)
Price: $60 Qty:______Cost:______
Book – The Art of Maintaining a Health Life
English Version: $12 Qty:____ Cost:______
Spanish Version: $12 Qty:____ Cost:______
Subtotal:______
Indiana Sales Tax:______(6.00%) (Indiana residents only)
Shipping and Handling:______(See 2nd page)
Total:______
Payment: Check or money order (Payment made in full to: CWEB, Inc.)
Signature:______Date:______
(If paying by check or money order, allow 5 days for payment to clear before delivery of your order)
(Because these are food items, they cannot be returned once opened)
716 Schilling Dr
Dyer, IN 46311
877-215-7740
www.cweb-goodhealth.com
Sales Regions
Purchases can only be made for and delivered within the continental United States.
International purchases are not accepted.
Shipping and Handling Charges
The following schedule will allow you to calculate your shipping and handling charges.
1-3 Boxes 4-6 Boxes 7-9 Boxes 10+ Boxes
USPS Priority $9 $19 $28 Please Call
Payments
We currently accept personal checks, cashiers checks, and money orders. All checks must be made out to CWEB, Inc. Allow up to 5 business days for your personal check to clear before the shipment/delivery of your order to begin.
Your payment, along with this form, must be sent to the following address:
CWEB, Inc.
716 Schilling Dr
Dyer, IN 46311
Returns
All sales of food items are final.
Checks with insufficient funds
Customers, who send payment as a personal check, but with insufficient funds, will be charged a $30 fee and the order will be cancelled.
Availability & Processing
Product availability is subject to change with our without notice. Some products may sell-out by the time your order is reached, at which time we will inform you if your order will be fulfilled at a later date, or cancel the order due to lack of availability. Orders are received, and shipped, Monday through Friday anywhere from 8 am to 5 pm.
The prices and shipping costs reflected on this order form are subject to change without notice. Please contact a CWEB representative at any time if you wish to receive a more recent order form and pricing schedule.
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