Alternate Order Form - Nutrigenesis Approach - Health supplements and products for acid reflux and other digestive health issues

ALTERNATIVE ORDERING METHODS: (Note: This is not a secure order form. If you choose to submit this form online, you must bear the responsibility that a third party may accidentally see your information.)

You may fill out this form online. Print the completed Order Form and fax it to 407-264-8440 with your credit card number.
Send this order form with a money order to Nutrition & Health Educator, Inc. 1628 Regal Oak Drive, Kissimmee, FL 34744 U.S.A.
Call 407-847-8378 or toll free: 1-800-901-LEAN (1-800-901-5326) to place your order over the phone. (Office hours: 10AM-6PM, EST, Monday-Friday)

Qty	DESCRIPTION	Price	Total
	Starter Kit -1 Acidgone® Advance Formula Recommended for Acid Reflux/GERD; Wheat & gluten free Includes 1 container (60 servings) of Acidgone® Advance Formula powder and 1 Nutrigenesis Approach Program Manual	$51.95
	Starter Kit -1 Lean-N-Clean® New Formula Wheat & gluten free Includes 1 container (60 servings) of Lean-N-Clean® New Formula powder and 1 Nutrigenesis Approach Program Manual.	$49.95
	Starter Kit- 2 Lean-N-Clean® New Formula Recommended for pre-menopausal women with emphasis on weight-loss. Includes 1 container (60 servings) of Lean-N-Clean® New Formula powder and 1 free Nutrigenesis Approach Program Manual plus other dietary supplements.	$120.20
	Starter Kit -3 Lean-N-Clean® New Formula Recommended for men and post-menopausal women with emphasis on weight-loss. Includes 1 container (60 servings) of Lean-N-Clean® New Formula powder and 1 free Nutrigenesis Approach Program Manual plus other dietary supplements.	$122.78
	Starter Kit -4 Lean-N-Clean® New Formula Recommended for pre-menopausal women with emphasis on intestinal cleansing/detox or suffering from IBS with constipation/diarrhea/diverticulitis: also for acne and bad breath. Includes 1 container (60 servings) of Lean-N-Clean® New Formula powder and 1 free Nutrigenesis Approach Program Manual plus other dietary supplements.	$115.70
	Starter Kit-5 Lean-N-Clean® New Formula Recommended for men and post-menopausal women with emphasis on intestinal cleansing/detox or suffering from IBS with constipation/diarrhea/diverticulitis: also for acne & bad breath. Includes 1 container (60 servings) of Lean-N-Clean® New Formula powder and 1 free Nutrigenesis Approach Program Manual plus other dietary supplements.	$118.28
	Starter Kit-6 with Acidgone® Advance Formula Recommended for pre-menopausal women with heartburn/acid reflux. Includes 1 container (60 servings) of Acidgone® Advance Formula powder and 1 free Nutrigenesis Approach Program Manual plus other dietary supplements.	$116.70
	Starter Kit -7 with Acidgone® Advance Formula Recommended for men and post-menopausal women with heartburn/acid reflux. Includes 1 container (60 servings) of Acidgone® Advance Formula powder and 1 free Nutrigenesis Approach Program Manual plus other dietary supplements.	$119.28
	Starter Kit-8 Lean-N-Clean® New Formula Recommended for individuals with mild case of hemorrhoids. Includes 1 container (60 servings) of Lean-N-Clean® New Formula powder and 1 free Nutrigenesis Approach Program Manual plus other dietary supplements.	$85.47
	Starter Kit-9 Lean-N-Clean® New Formula Recommended for individuals with severe case of hemorrhoids. Includes 1 container (60 servings) of Lean-N-Clean® New Formula powder and 1 free Nutrigenesis Approach Program Manual plus other dietary supplements.	$115.43
	Starter Kit-10 Lean-N-Clean® New Formula Recommended for individuals with high cholesterol level. Includes 1 container (60 servings) of Lean-N-Clean® New Formula powder and 1 free Nutrigenesis Approach Program Manual plus other dietary supplements.	$60.90
	Acidgone® Advance Formula (1 container) 1 container (60 servings) of Acidgone® Advance Formula powder. Recommended for repeat customers only.	$43.95
	Acidgone® Advance Formula (2 container package) 2 containers (120 servings) of Acidgone® Advance Formula powder. Recommended for repeat customers only. (Save $7.50 in shipping)	$87.90
	Acidgone® Advance Formula (3 container package) 3 containers (180 servings) of Acidgone® Advance Formula powder. Recommended for repeat customers only. (Save $15.00 in shipping)	$131.85
	Acidgone® Advance Formula (4 container package) 4 containers (240 servings) of Acidgone® Advance Formula powder. Recommended for repeat customers only. (Save $23.00 in shipping)	$175.80
	Acidgone® Advance Formula (> 4 containers), CALL 1-800-901-LEAN More than 4 containers of Acidgone® Advance Formula powder. Call toll free: 1-800-901-LEAN (5326) or e-mail your request & phone number to: customerservice@nutrigenesis.com for shipping charge confirmation.	$0.00
	Acidgone® Advance Formula Wholesale , CALL 1-800-901-LEAN Minimum quantity: 1 case (12 containers) of Acidgone® Advance Formula powder. For business owners and retailers only. Must submit business Federal tax ID when placing the order. Must purchase Nutrigenesis Approach Program Manual separately. Call 1-800-901-LEAN (5326).	$0.00
	Lean-N-Clean® New Formula (1 container) 1 container (60 servings) of Lean-N-Clean® New Formula powder.	$41.95
	Lean-N-Clean® New Formula (2 container package) 2 containers (120 servings) of Lean-N-Clean® New Formula powder. Recommended for repeat customers only. (Save $7.50 in shipping)	$83.90
	Lean-N-Clean® New Formula (3 container package) 3 containers (180 servings) of Lean-N-Clean® New Formula powder. Recommended for repeat customers only. (Save $15.00 in shipping)	$125.85
	Lean-N-Clean® New Formula (4 container package) 4 containers (240 servings) of Lean-N-Clean® New Formula powder. Recommended for repeat customers only. (Save $23.00 in shipping)	$167.80
	Lean-N-Clean® New Formula (>4 containers), CALL 1-800-901-LEAN More than 4 containers of Lean-N-Clean® powder. Call toll free: 1-800-901-LEAN (5326) or e-mail your request & phone number to: customerservice@nutrigenesis.com for shipping charge confirmation.	$0.00
	Lean-N-Clean® New Formula Wholesale, CALL 1-800-901-LEAN Minimum quantity: 1 case (12 containers) of Lean-N-Clean® New Formula powder. For business owners and retailers only. Must submit business Federal tax ID when placing the order. Must purchase Nutrigenesis Approach Program Manual separately. Call 1-800-901-LEAN (5326).	$0.00
	Suprema-Dophilus capsules Suprema-Dophilus, multiple probiotic, enteric–coated capsules for protecting cells against harsh stomach acid.	$16.50
	Superzyme tablets Superzyme tablets contain multiple enzymes. For digestion of proteins, starches, fats & fibers, especially suitable for people with digestion problems or overeating.	$13.95
	Vitamin B-12 sublingual lozenges Vitamin B-12 sublingual lozenges are absorbed quickly under the tongue, independent of gastrointestinal absorption; provide all the benefits of B-12 injections without the pain or cost; important for people with anemia, concentration, memory, low energy level or circulation problems.	$15.95
	Vitamin B-12 sublingual lozenges (2-bottle package) Vitamin B-12 sublingual lozenges are absorbed quickly under the tongue, independent of gastrointestinal absorption; provide all the benefits of B-12 injections without the pain or cost; important for people with anemia, concentration, memory, low energy level or circulation problems. (10% discount, save $3.19 + $7.95 in S&H, Total saving: $11.14)	$28.70
	Vitamin B-12 sublingual lozenges (3-bottle package) Vitamin B-12 sublingual lozenges are absorbed quickly under the tongue, independent of gastrointestinal absorption; provide all the benefits of B-12 injections without the pain or cost; important for people with anemia, concentration, memory, low energy level or circulation problems. (10% discount, save $4.79 + $7.95x2 in S&H, Total saving: $20.69)	$43.07
	No Shot B-12 sublingual tablets No Shot B-12 1000 mcg sublingual tablets are absorbed quickly under the tongue, independent of gastrointestinal absorption; provide all the benefits of B-12 injections without the pain or cost; important for people with anemia, concentration, memory, low energy level or circulation problems.	$19.95
	No Shot B-12/B6/Folic Acid sublingual microtabs (Each tablet contains B-6 2 mg, B-12 1,000 mcg and Folic Acid 800 mcg) Instant release tablets containing some of the most important ingredients to boost your red blood cell supply besides providing all the benefits of B-12 injections without the pain or cost; especially important for pregnant or menstruating women.	$15.95
	No Shot Methylcobalamin-Activated B-12/B6/Folic Acid microtabs Methylcobalamin B-12 is better absorbed, retained & utilized than Cyanocobalamin B12. It regenerates damaged neurons and renders Homocysteine non-toxic and therefore decrease the risk for cardio-vascular disease. This trio is especially recommended for people with cardio-vascular disease.	$22.25
	Folic Acid sublingual tablets (Each tablet contains Folic Acid 800 mcg) Instant release tablets. Helps to promote growth and reproduction of body cells. Needed for utilization of sugar and protein metabolism. Especially important for pregnant women, nursing mothers or people with folic acid deficiency anemia.	$8.95
	Vita-Super Multiple Vitamins & Minerals tablets Well balanced One-Per-Day multiple vitamins with chelated minerals & trace elements, especially suitable for menstruating women.	$15.15
	Vita-Min 75 Iron-Free Vitamins & Minerals tablets Well balanced One-Per-Day multiple vitamins with chelated minerals & trace elements, especially suitable for men and post-menopausal women.	$17.73
	B-Complex 50 sustained release tablets Each capsule contains folic acid 400 mcg plus all other B vitamins 50 mg each. The energy vitamins, most important for individuals who try to lose weight. Also the natural tranquilizer.	$9.95
	Vitamin C with Rose Hips tablets 500 mg tablets. Contains no added sugar, salt, dairy, yeast, corn, soy, preservatives, artificial colors or flavors. An important antioxidant, for building new collagen and wound healing.	$11.25
	Magnesium chelated tablets Magnesium 100 mg amino acid chelate tablets. This is a mineral that can calm your nerves and relax muscles. Good for leg cramps. Use it in conjunction with B-Complex-50 for headache. Important for people who drink alcoholic beverages, on steroids and certain drugs for high cholesterol level.	$6.95
	Zinc Lozenges Zinc lozenges with a pleasant natural lemon flavor. Zinc is a very important mineral for wound healing. Best for irritated or sore throat. Helps to recover from flu faster.	$6.25
	L-Carnitine tablets These are 500 mg L-Carnitine tablets. Converts stored body fat into energy, controlling hypoglycemia, energizing the heart; beneficial to diabetes, liver disease or kidney disease; beneficial to weight-loss.	$18.95
	Acetyl L-Carnitine capsules These are 500 mg Acetyl L-Carnitine capsules. Improving mood, memory and cognition. Transporting fat into cell's power house to be converted to energy and muscle.	$24.75
	Prostate Support capsules Prostate Support capsules contain essential mineral and natural herbs for the maintenance of healthy prostate glands for men.	$20.50
	PMS tablets PMS tablets contain essential vitamins, minerals and Chinese herbs. Helps relieve symptoms of PMS, reduce anxiety.	$13.95
	Fish Oil Omega-3 softgel Fish Oil Omega-3 softgels have unique components of fish oils. Lowers triglycerides and LDL cholesterol, reduce blood viscosity and help prevents heart attacks and strokes, lower blood pressure and enhance immune system.	$8.75
	Co-Enzyme Q10, 30mg Co-Enzyme Q10 is essential for cell respiration, especially in the heart muscle, reduces the risk of heart attack, lowers blood pressure and stimulates the immune system. Important supplement for people who are on "Statin" drugs to lower cholesterol level or diabetes on oral medications.	$17.45
	Brain Support tablets Brain Support tablets supply essential brain nutrients and natural herb Ginkgo Biloba to maintain proper functioning of brain cells.	$27.70
	Vision Support capsules Vision Support capsules help support normal vision with essential nutrients and natural herbs.	$20.30
	Osteo Support tablets Osteo Support tablets contain all the essential minerals and hormone from soy needed for strong bone. Especially suitable for peri-menopausal or post-menopausal women.	$21.88
	FEM Support tablets FEM Support tablets contain Chinese herb-Dong Quai, Soy, Black Cohosh, Red Clover, Chasteberry, Licorice, essential vitamins and minerals to maintain healthy female organs.	$20.95
	Immune System Support capsules Immune System Support capsules provide a powerful combination of antioxidants herbs and medicinal mushrooms to greatly enhance your ability to fight infections. Best taken before and during flu season. Especially suitable for people with week immune system.	$19.95
	Joint Support tablets Joint Support tablets contains Glucosamine-Chondroitin Complex, MSM and more. Best combination for healthy joint. Helps to build new cartridge for deteriorated joints.	$23.75
	Glucose Support capsules Glucose Support capsules provide a combination of vitamins, minerals, herbs and other nutraceuticals, which have historical and scientific background in reducing blood glucose levels.	$22.95
	Aller-7™ Support capsules Aller-7™ Support capsules contain a proprietary blend of seven traditional Ayurvedic medicinal herbs which support normal respiratory function in the presence of airborne allergens.	$29.98
	Melatonin sublingual tablets No pills to swallow; instantly dissolves on contact; place Melatonin sublingual tablets on or under the tongue. Human body's natural hormone telling you it is "nite-nite" time. Get to sleep fast; natural restful sleep. Especially helpful to fight jet lag for frequent travelers.	$8.87
	Tuo Cha™ - Yunnan Tea Tuo Cha™ - Reishi Mushroom (known as "Lin Chi" in Chinese), Ginseng & Yunnan Tea leaf	$10.95
	Nutrigenesis Approach Program Manual (English) Information includes theories behind Nutrigenesis Approach, and how it works for various intestinal and other health issues.	$16.00
	Nutrigenesis Approach Program Manual (Spanish) Information in Spanish includes theories behind Nutrigenesis Approach, and how it works for various intestinal and other health issues.	$16.00
	Tribest Personal Blender™ PB-100 This professional blender includes 2 -16 oz cups & lids. Highly recommended for mixing Acidgone™/Lean-N-Clean® smoothies, just the right size for 1 serving.	$59.95
	Tribest Personal Blender™ PB-200 This professional blender includes 2 -16 oz cups with lids plus grinding blade & 1- 8 oz grinding cup with lid for grinding seeds.	$79.95
	Green Star GS-1000 Juice Extractor Green Star-GS 1000 Juice Extractor Food Processor is reputably one of the world's best juice extractors and most efficient food processors.	$360.00
	Green Star GS-3000 Juice Extractor Green Star-GS 3000 Juice Extractor Food Processor is reputably one of the world's best juice extractors and most efficient food processors.	$495.00
	Samson™ GB-9001 Juice Extractor & Food Processor: Single Gear Extracts healthy, pure juice without hazardous chemicals. Higher yield, with drier pulp. The quickest and easiest cleaning (within 3 minutes).	$259.00
	Samson™ KPE-1301 Juice Extractor & Food Processor: Twin Gear SamsonTM KPE-1301 Juice Extractor and Food Processor: 3-way bio-ceramic magnetic and clean Twin Gear System.	$439.00
	FreshLife Sprouter FreshLife Sprouter features an automatic sprinkling system to produce fresh, nutritious and tender sprouts. Just add water and seeds! No soil, special light, nor a "Green Thumb" needed.	$89.95
	Gift Certificate - $50 This gift certificate is a perfect gift for someone who wants to give the gift of good health. Worth $50 towards the purchase of any Nutrigenesis Approach product.	$50.00
	Gift Certificate - $100 This gift certificate is a perfect gift for someone who wants to give the gift of good health. Worth $100 towards the purchase of any Nutrigenesis Approach product.	$100.00
	Gift Certificate - $150 This gift certificate is a perfect gift for someone who wants to give the gift of good health. Worth $150 towards the purchase of any Nutrigenesis Approach product.	$150.00

SubTotal:
Shipping & handling: (Based on the number of bottles of Acidgone or Lean~N~Clean) $10/container, $13/2 containers, $15/3 containers, $17 for 4 containers (Shipping & handling fee for more than 4 bottles, Next Day Air, 2nd Day Air and for countries other than USA must be confirmed in advance. Please call or e-mail inquiry to: CustomerService@nutrigenesis.com. No additional shipping charge for vitamins if ordered in conjunction with Acidgone or Lean~N~Clean, otherwise, minimum S&H=$7.95 for vitamins only.		Shipping:
Grand Total:

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