Elixir Industry Mail Order Form - Easy Form

For U.S. Only. All Funds Are in US Dollars

Print And Mail, Or Simply Write Down On Paper

For Use Before 2/28/2026

We Are Open 24hours a Day, 7days a Week.

1-800-395-5715

Make Money Order/Bank Draft/Check payable to Elixir Industry
EZCap = EZorb Capsule  EZPow = EZorb Powder  Marv = Marvlix

Order Items

Total

Check One

Order Items

Total

Check One

1 EZCap

$66.90

  

1 EZCap 1 EZPow

$130.80

  

2 EZCap

$133.80

  

2 EZCap 1 EZPow

$183.86

  

3 EZCap

$186.65

  

1 EZCap 2 EZPow

$181.07

  

4 EZCap

$248.87

  

3 EZCap 3 EZPow

$345.31

  

5 EZCap

$311.09

  

4 EZCap 2 EZPow

$347.95

  

6 EZCap

$353.23

  

2 EZCap 4 EZPow

$342.67

  

12 EZCap

$658.30

  

6 EZCap 6 EZPow

$643.54

  

1 EZPow

$63.90

  

9 EZCap 3 EZPow

$650.92

  

2 EZPow

$127.80

  

3 EZCap 9 EZPow

$636.16

  

3 EZPow

$178.28

  

8 EZCap 4 EZPow

$648.46

  

4 EZPow

$237.71

  

1 EZCap 1 Marv

$131.80

  

5 EZPow

$297.14

  

2 EZCap 1 Marv

$184.79

  

6 EZPow

$337.39

  

1 EZCap 2 Marv

$182.93

  

12 EZPow

$628.78

  

2 EZCap 2 Marv

$245.15

  

1 Marvlix

$64.90

  

3 EZCap 3 Marv

$347.95

  

2 Marvlix

$129.80

  

4 EZCap 2 Marv

$349.71

  

3 Marvlix

$181.07

  

2 EZCap 4 Marv

$346.19

  

4 Marvlix

$241.43

  

6 EZCap 6 Marv

$648.46

  

5 Marvlix

$301.79

  

2 EZPow 1 Marv

$179.21

  

6 Marvlix

$342.67

  

3 EZPow 3 Marv

$340.03

  

12 Marvlix

$638.62

  

6 EZPow 6 Marv

$633.70

 

For more selections use the regular fax/mail order form

Name:
Phone:

Street:

City, State ZIP:

Mail completed form with money order or check to:

Elixir Industry, PO Box 8819, Brea, CA 92822-5819, USA