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For Fax/Mail Orders
Special "Get Acquainted" Offer!
3 For 2 Offer!
To: Boyce N. Berkel, MD
c/o Unique Enterprises
2330 Kings Point Drive
Largo, Florida 33774
Fax: 888-268-2795
E-Mail: painrlfctr@aol.com
For Fast Secure
Online Ordering Click Here
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Item#
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Product
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Qty
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Price
Each
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Total
Cost
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2 1/2 oz.
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PainBreak
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2
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$15.97
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$31.94
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2 1/2 oz.
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PainBreak
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1
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$15.97
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FREE
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S/H
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$5.97
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Total
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$37.91
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| Name: | ||||
| Address: | ||||
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| Telephone Number: | ||||
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Check
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Money Order
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Credit Card
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| Exp. |
Visa
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M/C
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Discover
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Amex |
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Credit Card Number:
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| Location of pain or shingles: | ||||
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Thank You! |
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