Buy Quantity And Save $$$

Buy Quantity And Save $$$

AMP FLORACEL™
CCH Nutrition Corp
1314 E. Las Olas Blvd. Suite 283
Fort Lauderdale, FL 33301
Phone: 954-527-1004
954-527-1008 Fax

Click Here to Print this order form
then mail it with your money order or check.  If using credit card, fill out the CC info below and fax to us:

Orders Are Shipped U.S.P.S.
SEND U.S. FUNDS ONLY.

*Signature is required for shipment

(One bottle = 270 Capsules = 1 month supply initially = 3 months supply for maintenance dosage.)
1 bottle, FLORACEL™:$149.00__________
 2 bottles, FLORACEL™: $298.00__________
3 bottles, FLORACEL™: $399.00 (SAVE $48.00)__________
6 bottles, FLORACEL™: $779.00 (SAVE $115.00)__________

(No sales tax)__0.00___

U.S. ORDERS ADD $8.50 SHIPPING AND HANDLING PER ORDER__________
U.S. EXPRESS MAIL (Next Day) ORDERS ADD $40.00 SHIPPING AND HANDLING PER ORDER__________
*INTERNATIONAL ORDERS ADD $40.00 SHIPPING AND HANDLING__________
Delivery time can be 7-14 business days on International Customers.
Could take longer, depending on location and local post and customs.

TOTAL For Your Order = $__________

Regular US postal service times are not guaranteed. 
(No Saturday or Sunday Shipping and same shipping cost for multiple bottle shipments)

Make your Check or Money Order Payable To: FLORACEL
All orders paid by Credit Card or Money Order are shipped within 24 hours of receipt.  Person Checks require they clear the bank before shipping.
FAX this order form to: (954) 527-1008 fax

Visa / MC / Discover #_____________________________________________ Expiration Date: ________

CVV# _______________________ (3 or 4 digit number on the back of the card)

Print Cardholder's Name as it appears on card:______________________________________________
Cardholders acknowledge receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth in the cardholders agreement with the issuer. Sale is acknowledged and draft accepted.

Signature: X_____________________________________________________________________________

Billing  Name _____________________________________________ Phone _______________________

Address ________________________________________________________________________________

City State Zip ___________________________________________________________________________

EMAIL Address __________________________________________________________________________

Ship to Name _____________________________________________ Phone _______________________

Address ________________________________________________________________________________

City State Zip ___________________________________________________________________________
Please Circle Choice  Repeat Customer?   Yes / No      Reason for Purchase: Sick  /  General Health 

________________________________________________________________________________________
DO NOT OMIT YOUR ZIP CODE, SUITE NUMBER, PROVINCE, OR ANY PART OF YOUR ADDRESS. 

ALSO, this second page does not need to be faxed to purchase products, only the form you fill out needs to be faxed.

*International customers are responsible for duties and taxes which their respective countries charge for imported goods. We do not charge or calculate foreign taxes or duties.

Our dedication to exceptional service, great value, superior quality, dependability and commitment makes us the successful leaders in the industry today.

RETURN POLICY : Any bottle of AMPFLORACEL™ that is unopened with the safety seal intact, may be returned within 120 days of purchase for a refund. Any opened containers cannot and will not be accepted for a refund. AMPFLORACEL™ can make no assurances or guarantees as to the level of effectiveness of any product for any individual due to our inability to monitor your usage, consistency, and procedure.  Customer acknowledges and accepts this policy upon purchase.

FDA Disclaimer: "The statements regarding these products have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health problems or illnesses without consulting your pediatrician or family doctor. The information on this Web site or in emails is designed for educational purposes only.   Please consult a doctor with any questions or concerns you might have regarding you or your child's condition. Informational material and representations have been provided by the manufacturers of the listed products."