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 2/28/2025

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

$123.85

  

2 EZCap

$126.85

  

2 EZCap 1 EZPow

$171.42

  

3 EZCap

$174.21

  

1 EZCap 2 EZPow

$168.63

  

4 EZCap

$229.96

  

3 EZCap 3 EZPow

$315.57

  

5 EZCap

$285.72

  

4 EZCap 2 EZPow

$318.21

  

6 EZCap

$323.49

  

2 EZCap 4 EZPow

$312.93

  

12 EZCap

$596.86

  

6 EZCap 6 EZPow

$582.10

  

1 EZPow

$63.90

  

9 EZCap 3 EZPow

$589.48

  

2 EZPow

$120.85

  

3 EZCap 9 EZPow

$574.72

  

3 EZPow

$165.84

  

8 EZCap 4 EZPow

$587.02

  

4 EZPow

$218.80

  

1 EZCap 1 Marv

$124.89

  

5 EZPow

$271.77

  

2 EZCap 1 Marv

$172.39

  

6 EZPow

$307.65

  

1 EZCap 2 Marv

$170.56

  

12 EZPow

$567.34

  

2 EZCap 2 Marv

$226.32

  

1 Marvlix

$64.94

  

3 EZCap 3 Marv

$318.31

  

2 Marvlix

$122.93

  

4 EZCap 2 Marv

$320.04

  

3 Marvlix

$168.74

  

2 EZCap 4 Marv

$316.59

  

4 Marvlix

$222.67

  

6 EZCap 6 Marv

$587.21

  

5 Marvlix

$276.60

  

2 EZPow 1 Marv

$166.81

  

6 Marvlix

$313.14

  

3 EZPow 3 Marv

$310.39

  

12 Marvlix

$577.57

  

6 EZPow 6 Marv

$572.45

 

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