Text Box:

7-DAY ELIMINATION DIET KIT

MAIL ORDER FORM

 

Order all of the gayelord hauser brand products you need foR YOUR 7-day diet!
Gayelord Hauser Logo

MAKE CHECK OR MONEY ORDER PAYABLE TO

and MAILTO:

MODERN PRODUCTS, INC.

6425 W. Executive Drive

Mequon, Wisconsin 53092

 

Allow 3-4 weeks for personal check orders

1-2 weeks for money orders

             THE 7 DAY ELIMINATION DIET KIT INCLUDES:

 

                                  2 ea.        Hauser Vegetable Broth, 4 oz. box   

                                  2 ea.        Swiss Formula Broth, 4 oz. box         

                                  1 ea.        Spike® Original Magic! 3 oz. shaker                                 

                                  1 ea.        Spike® Vege-Sal Magic! 4 oz. shaker                                

                                  1 ea.        Spike® Garlic Magic! 2.25 oz. shaker               

                                  1 ea.        Spike® 5 Herb Magic! .75 oz. shaker                

                                  1 ea.        Spike® Onion Magic! 2.5 oz. shaker  

                                  1 ea.        Spike® Lemon Pepper Magic! 3 oz. shaker

 

ONLY $40.00 — WITH SHIPPING!  THAT’S AN 18% DISCOUNT!
Text Box: NAME:_____________________________________________ DATE: ________________________ ADDRESS:_________________________________________________________________________ CITY_________________________________________________ STATE:_______ ZIP:___________ TELEPHONE #:________________________________________________________ (Telephone # is requested in case there is a problem with the order) EMAIL ________________________________________________________________ Prices subject to change without prior notice.