Colloidal Silver Systems Product Order Form
Please note: Although it is most unlikely that you will experience
any problems responding to this form, certain non-standard browsers will
not respond properly. If you experience any difficulties, (or if you are
not using a forms-capable browser) you may email your response to this
form to: firstname.lastname@example.org
Enter the quantity for each desired item:
To order by FAX (Check Orders Only):
FAX this order form, include amount, checking account #, bank ID# and signature.
Call 319-364-7602, leave your phone number and ask for FAX order. (I have
fax and voice messaging at 319-364-7602but the fax is not on all the time.
Please call and I will turn it on.) If you submitted the order form have
provided an email address, you will receive an email notice upon receipt
of order along with a shipping date, time and estimated date of arrival
of your shipment.
To order by Phone (Check Orders Only):
Fill out the order form and submit it. Then call 319-364-7602. Please
have your checkbook ready and we will prepare a real-time electronic check.
You will receive a shipping date and time and estimated date of arrival.
To order by Mail (Check Orders Only):
Please print this order form, including amount, and make check or
order payable to PCSS. (Mailing address is listed
below.) If you submitted the order form and have provided an email
address, you will receive an email notice upon receipt of order along with
a shipping date, time and estimated date of arrival of your shipment. If
you have only submitted an address, you will receive postcard verification.
Any other terms, use special instructions
1718 C Av NE #9
Cedar Rapids IA 52402-5247
Copyright © 1998 Electrogen Personal Colloidal Silver Systems
All Rights Reserved
Please post comments and email to: email@example.com
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Neither Manufacturer nor Seller makes any claim as to
any specific benefits accruing from the use of these products. Any benefits
or results from the use of these products are subject to individual health
factors and metabolic differences which tend to make the formula more or