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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