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Mail or Fax Order Form

We conveniently accept all forms of payment including checks, money orders, etc. Personal checks normally take up to 2 weeks to clear. Send a cashier's check or a money order for faster turn-around time. Make all payments payable to CJ Industries, Inc. You can also mail or fax us your credit card information if you are worried about using it online as many people still are.

Complete All Information, Print Form, Then Mail or Fax This Form To:

CJ Industries, Inc.
7223 Church Street, Suite A-20 #331
Highland, CA 92346
Fax 909-335-5879

Shipping Information

First and Last Name:

Shipping Address:
Including complete 
street address, city, 
state and zip code.

Phone Number:

E-Mail Address:

Payment Information
Money Order/Check    Cash   Credit Card
Credit Card Number:
Credit Card Expiration:
Card Security Code:

Product Description

1 Bottle of OmegaFit RX( 1 month supply)

$29.99 Free Shipping   Quantity:

2 Bottles of OmegaFit RX( 2 month supply)

$49.99 Free Shipping   Quantity:

3 Bottles of OmegaFit RX( 3 month supply)

$74.99 Free Shipping   Quantity:

4 Bottles of OmegaFit RX( 4 month supply)

$89.99 Free Shipping   Quantity:

5 Bottles of OmegaFit RX( 5 month supply)

$109.99 Free Shipping Quantity:

6 Bottles of OmegaFit RX( 6 month supply)

$124.99 Free Shipping Quantity:

Shipping

International Orders: Add $10.00 to your payment.

Total Cost (USD)
California Residence Add 7.75% Sales Tax

© 2003 CJ Industries Inc. All Rights Reserved.