Order Form

Nutrition services for all life stages
Integrative support for injuries and disorders

PRINT THIS FORM

SHIP TO:

NAME: ______________________________________ PHONE: ____________________

STREET: _____________________________________

_____________________________________ EMAIL: _____________________

CITY, STATE, ZIP: ______________________________________________________________

Is this your billing address? If not, please enter it here: ________________________________________________________________________________

COMMENTS/SPECIAL INSTRUCTIONS: ______________________________________________

Please send me the following items:

Qty	Name of Item	Size	Unit Price	Total Price





Sub-Total
Shipping and Handling -- Supplements ship Free! See shipping chart for book
Colorado only: Sales Tax add 6.9%
TOTAL

Signature of Cardholder: _________________________________________________

Account Number Expiration Date

Card Verification Number (For VISA, MC, and DISCOVER, this is a 3-digit number printed on the back of your card. It appears after and to the right of your card number. For American Express, it is 4-digit number printed on the front of your card. It appears after and to the right of your card number.)

$ _______________

Check or Money Order

(Your order will be shipped once check has cleared.)

TO ORDER:

Phone: 970-884-7187

Mail:

Send your completed order form, with payment, to:

Getty Equine Nutrition LLC, 732 Chimney Drive,

Bayfield, CO 81122

FAX: 970-884-9186 (credit card orders only)