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Print the following Order Form or Order Form (pdf)
Complete form - mail or fax order! Or order by telephone - 715-831-1822
 
Order Form

Shipping Address:

Name:_____________________________________Telephone:___________________
Address:___________________________________Fax:_________________________
Address:___________________________________Email Address: _______________
City:_____________________State:_____________Zip Code:____________________
 

Receive newsletters by email delivery - deduct 10% off cost of newsletters!

Be sure to include your email address for delivery.

Billing Address (if different):

Name:____________________________________ Telephone:___________________
Address:___________________________________Fax:________________________
Address:___________________________________Email Address:________________
City:_____________________State:_____________Zip Code:____________________
 
Quantity Code Number Name of Product Cost
_______ _________ _____________________________________________ ____________
_______ _________ _____________________________________________ ____________
_______ _________ _____________________________________________ ____________
_______ _________ _____________________________________________ ____________
_______ _________ _____________________________________________ ____________
_______ _________ _____________________________________________ ____________
 
Subtotal
 ____________
 
Shipping Costs
____________
 
Sales Tax (non-exempt WI customers)
____________
 
Total Cost
____________
 
Shipping Costs:
  • $0 - $50 Add $5.00
  • $51 - $1000 Add 10%
  • Over $1000 Add 5%
  • No Shipping costs for emailed newsletters.
  • No Shipping costs for newsletter renewals.
  • International/Hawaii/Alaska - actual shipping costs via USPS - we will recalculate your order.

 
Government Agency's Sales Tax Exempt Number:_________________________________________
 
Payment Method:
  • Check payable to Nutrition Matters, Inc.
  • Purchase Order #__________________________________
  • Credit Card (MasterCard/Visa)
  • Name on Card:________________________________________________________________
  • Card Number:_________________________________________________________________
  • Expiration Date:_______________________________________________________________
 
Print and Complete Order Form
Mail or Fax to:
Nutrition Matters, Inc.
2809 East Hamilton Avenue, Dept. 109
Eau Claire, WI 54701
 
Fax: 715-855-0129
Telephone: 715-831-1822
Thanks for your order!
 
Copyright 2008 - Nutrition Matters, Inc.
2809 East Hamilton Avenue, Dept. 109, Eau Claire, WI 54701
Telephone: 715-831-1822, Fax: 715-855-0129 - All Rights Reserved