Dr. Myatt's Wellness Club Order Form
4 Easy Ways to Order

By Telephone: call toll free:
1-800-DR. MYATT (800-376-9288) 7 days a week, 24 hours a day

By FAX: Fax this completed order form to us at: 1-928-536-5691

By Internet: Visit our Website at: www.drmyattswellnessclub.com

By MAIL: When ordering by mail, please include this page or a facsimile, filled out completely and mailed to:
Dr. Myatt’s Wellness Club
P.O. Box 900
Snowflake, AZ 85937

Name_____________________________________
Address___________________________________
City______________State______Zip___________
Member # (if applicable)______________________
Method of payment: □  Visa   □  M/C  □ check
Credit card number__________________________
Expiration date_______________CVC #_________
We MUST have the 3 or 4-digit CVC # to process your order!
Phone number (        )-_______-________________
(in case there is a question about your order)

Signature______________________Date_______

Calculating Your Member Discount:
(Wellness Club Members ONLY. Join TODAY!)
Wellness Club Members deduct 10% off total.
(No Discounts on Memberships or Renewals)

product #

product description (name)

price

quantity

cost

117 / 118

wellness club membership / renewal (?)

35.00
         
         
         
         
         

shipping

sub-total
under $40.00... add $ 4.95

FREE SHIPPING for
WELLNESS CLUB MEMBERS

On Orders Over $150...
(after member discount)
International Orders Not Included

Please note: Prices are subject to change - our most current prices can be found online at:
www.DoctorMyatt.com
or call 1-800-Dr Myatt
$40.01- $75.00... add $ 6.95
$75.01- $100.00... add $ 7.95
$100.01 - $150.00 add $ 8.95
$150.01 - $1000 add $ 9.95

member discount

 (-)

TOTAL AFTER DISCOUNT
SALES TAX
(AZ residents add 7.7%)
 (+)

shipping

 (+)

total
RETURN POLICY: We want you to be satisfied with our products! Please call us right away if you find damaged merchandise. Unopened items will be accepted for return within 30 days of purchase. Please call 1-928-536-9191 for a Return Authorization. Shipping and Handling charges are non-refundable. Returns not due to our error will incur a 20% restocking fee. Substitutions: Dr. Myatt may select product substitutions for any item that is back-ordered or unavailable.
Prices are subject to change