Secure Online Order Form

Security: Placing your order online is the fastest, easiest way to obtain System rüdach™ with A.C.P.. The Secure On-Line Order Form Below utilizes the finest encryption technology available (128-Bit by VeriSign Inc.) to ensure a Safe, Private transaction 24 Hours A Day, 7 Days A Week.

Privacy: Biomax Health Products, Inc., the exclusive distributor of System rüdach™ with A.C.P., is committed, uncompromising and VERY serious when it comes to protecting your privacy. We will NEVER sell or share ANY information about our valued customers with anyone for any reason.

Guarantee: We urge anyone who purchases System rüdach™ and is not completely satisfied with it for any reason to return it for a Full Refund. This is a "No Questions Asked" Guarantee which never expires.

Alternative Options For Ordering:
Using the 100% Secure On-Line Order Form below is the recommended method for promptly obtaining System rüdach™ with A.C.P., however, the following options are available as well.

» To Order By Phone In The U.S. & Canada Dial: 1-800-541-3550
» To Order By Phone Worldwide Dial: 858-481-3414
» To Pay By Check or Money Order:
   Enclose your Name, Address and Check / Money Order
   Make payable to "BIOMAX" in U.S. Funds Only
   Mail To:
   Biomax Health Products, Inc.
   14844 Fisher Cove, Suite 100
   Del Mar, CA 92014
   U.S.A.

- Secure On-Line Order Form -

Ordering System rüdach™ Online Is As Easy As 1 - 2 - 3
Just click your mouse in the “Full Name” field below and begin entering your information. Move from one field to the next by using your "TAB" key or simply clicking with your mouse.

Step 1: Who is receiving the System rüdach™?

Full Name:

Delivery Street Address:

Apt.#, Suite, Unit, etc.: (if necessary)

City:

State/Province:

COUNTRY: (leave blank if U.S.A.)

Zip/Postal Code:

Daytime Phone Number:
* We would only contact you if there is a problem with your order. This information will not be used for any other purpose and will never be shared with anyone.

E-Mail Address:
* This will enable us to send you confirmation and notify you that your package has been shipped. This information will not be used for any other purpose and will never be shared with anyone.

Step 2: How many Jars of System rüdach™ would you like to purchase? Review the chart & shipping information below then make your selection in the Order Quantity Drop-Down Box.

	U.S.A. Residents	NON-U.S.A. Residents
1 Jar	$24.90 ($21.95 + $2.95 Shipping)	$28.90 ($21.95 + $6.95 Shipping)
2 Jars	$44.85 ($41.90 + $2.95) - $2 Discount	$49.85 ($41.90 + $7.95) - $2 Discount
3 Jars	$65.80 ($59.85 + $5.95) - $6 Discount	$68.80 ($59.85 + $8.95) - $6 Discount
4 Jars	$81.75 ($75.80 + $5.95) - $12 Discount	$85.75 ($75.80 + $9.95) - $12 Discount
5 Jars	$95.70 ($89.75 + $5.95) $20 Discount	$100.70 ($89.75 + $10.95) $20 Discount

• Orders ship daily.

• Standard shipping on 1 or 2 jar orders within the U.S. is First Class Mail (4 to 7 day delivery).

• For faster service, we can ship 1 and 2 jar orders within the U.S. via Priority Mail which GUARANTEES delivery within 3 business days. This service is only an additional $3.00.

• 3 jar orders and above within the U.S. ship Priority Mail automatically.

• Orders to destinations outside the U.S. are sent U.S.P.S. Air Mail (7 to 10 day delivery).

System rüdach™ Order Quantity
Drop-Down Box
» «

Step 3: Lastly, we’ll need information regarding your Method of Payment:

Method of Payment:

Credit Card Number: (no spaces please)

Name As It Appears On Card:

Expiration Month:

Expiration Year:

To complete your order click the SUBMIT button below.
Please wait patiently for the confirmation screen to appear.

» » » « « «