20% Discount for purchases greater than $150.00
30% Discount for purchases greater than $250.00
NO SHIPPING CHARGE, UPS Ground, for most purchases over $150.00
Order No...description....dosage/quantity.....number @ cost...TOTAL DUE _______________________________________________________________________ Vitamin A #138 BetaCarotene 15 mg 200ct ...........@.. $21.95 ______ #142 Marine Carotene softgel 100ct ..........@.. 13.95 ______ Vitamin B #168 B1(thiamine) 500 mg 100ct ...........@.. 14.25 ______ #169 B2(riboflavin) 100 mg 100ct ...........@.. 7.50 ______ #171 B6(pyridoxine) 100 mg 100ct ...........@.. 6.75 ______ #174 B12(cyanocobalam)500mg 100ct ...........@.. 8.50 ______ #210 B50 multivitamin 250ct ...........@.. 28.50 ______ #211 B100 multivitamin 250ct ...........@.. 43.95 ______ #181 Chewable B (x3) 100ct ...........@.. 19.75 ______ #183 Buffered Niacin 250 mg 200ct ...........@.. 14.95 ______ #199 Niacinamide/B3 250mg 100ct ..........@.. 5.50 ______ #186 Choline/Inositol 500 mg 100ct ...........@.. 11.50 ______ #165 Folic Acid 800 mcg 200ct ...........@.. 7.95 ______ #202 PABA 500 mg 100ct ...........@.. 9.25 ______ #205 Pantothenic Acid 500 mg 100ct ...........@.. 9.95 ______ #209 Stress B Complex 250ct ...........@.. 37.95 ______ Vitamin C #233 Ascorbate C 500 mg 250ct ...........@.. 29.50 ______ #235 Vit-C Powder(2000/tsp) 8 oz ..........@.. 19.95 ______ #241 C-1000mg 250ct ...........@.. 26.95 ______ #258 C plus Bioflavonoids 250ct ...........@.. 34.50 ______ #253 Super C-500 250ct ...........@.. 30.50 ______ #255 Super C Powder(2000mg/tsp)8 oz ...........@.. 23.50 ______ #620 C-2000 Sustained Release 100ct ..........@.. 21.50 ______ Vitamin E #292 Vitamin E 400 IU 100ct ..........@.. 19.50 ______ #293 Vitamin E 400 IU 250ct ...........@.. 42.95 ______ #295 Liquid E(400 IU/tbsp) 12oz .........@.. 17.95 #303 Super E + Selenium 100ct ..........@.. 26.50 ______ Miscellaneous #591 Mega CoQ 10 cap 30mg 100ct ..........@.. 41.95 ______ #993 Nu Veg Selenium 200mcg 100ct ...........@.. 11.95 ______ Minerals #436 GTF Chromium 200mcg 100ct ...........@.. 13.50 ______ #437 GTF Chromic liquid 16oz ...........@.. 12.95 ______ # 66 Chromium Picolinate200mg 200ct ..........@.. 17.95 ______ #443 Calcium lactate 740 mg 250ct ..........@.. 16.50 ______ #444 Liquid Calcium 16oz .........@.. 12.95 ______ #470 Magnesium 400mg 200ct .........@.. 10.95 ______ #453 Opti-Cal/Mag 500/250 100ct ..........@.. 17.50 ______ #455 Oyster Shell Calcium 180ct ..........@.. 11.75 ______ #471 Zinc 30 mg 200ct ..........@.. 8.50 ______ Multi-vitamin & Minerals #496 Children’s Multivit 100ct ...........@.. 17.95 ______ #520 Daily Two Plus Iron 180ct ...........@.. 49.95 ______ #528 Daily Two Without Iron 180ct ...........@.. 49.50 ______ #502 Dualtabs Mega Vit/Min 200ct ...........@.. 38.95 ______ #505 Mega 3 (all inclusive) 90ct .........@.. 14.95 ______ #512 Prenatal Formula 120ct ...........@.. 12.95 ______ #514 SuperTwin 60ct ..........@.. 26.95 ______ #515 Vita Quick 8oz ..........@.. 15.95 ______ ---------------------------------------------------------------------------------------------------------------------- TOTAL PURCHASES From PAGE ONE......................... __________ Order No...description....dosage/quantity.....number @ cost...TOTAL DUE _______________________________________________________________________ Allergy-Free Formulation #137 Allergy A(10000 IU) 100ct ..........@... 4.75 ______ #230 Allergy C cap(750mg) 200ct ...........@... 21.95 ______ #231 Allergy C pow.(2.3g/tsp) 8oz ..........@... 13.95 ______ #251 Quercetin+C700mg 100ct ..........@... 28.95 ______ #278 Allergy D(400) IU100ct .............@.... 4.75 ______ #294 Hypo E (400 IU) 200ct ...........@.. 17.95 ______ #494 Multivit & Mineral 200ct ...........@.. 23.95 ______ Amino Acids #004 D-L-phenylalanine500mg 60ct ...........@.. 15.95 ______ #046 L-phenylalanine+C250mg 100ct ...........@.. 17.95 ______ #008 L-arginine 500 mg 100ct ...........@.. 13.95 ______ #010 L-arginine pow(3.75gm/tsp)4oz ...........@.. 19.95 ______ #014 L-arginine&Ornithine(750mg)100ct ..........@.. 22.95 ______ #016 L-carnitine 250 mg 60ct ...........@.. 26.95 ______ #022 L-cysteinePlusC1gm/3gm 100ct ...........@.. 21.95 ______ #026 L-glutamine 500 mg 100ct ...........@.. 14.95 ______ #029 L-glutathione 100 mg 60ct ...........@.. 21.50 ______ #032 L-histidine 500 mg 60ct ...........@.. 15.50 ______ #038 L-methionine caps 500 mg 30ct ...........@.. 6.50 ______ #040 L-ornithine 500 mg 100ct ..........@.. 22.50 ______ #041 L-ornithine powder 4gm/tsp 4oz ...........@.. 31.95 ______ #050 L-tyrosine cap 500 mg 100ct ..........@.. 16.95 ______ #051 L-tyrosine plusC 250 mg 100ct ..........@.. 17.95 ______ #054 Mega L-carnitine 500 mg 60ct ............@.. 35.95 ______ #064 Mega L-glutathione250 mg 60ct ............@.. 34.95 ______ #055 Mega taurine 1000mg 50ct .........@.. 7.75 ______ #056 N-acetyl-cysteine 600 mg 60ct ...........@.. 16.50 ______ #059 Nutrabolic Daytime GHR 100ct ...........@.. 27.95 ______ #060 Nutrabolic Nightime GHR 100ct ...........@.. 32.95 ______ #062 Taurine 500 mg 50ct ...........@.. 5.75 ______ #095 LPP honey 7.5gm/tbsp 32oz ...........@.. 23.50 ______ #097 LLP liquid 7.5gm/tbsp 32oz ........@.. 24.50 ______ #100 LLP predigest 1gm 200ct ..........@.. 26.25 ______ #104 Yeast Amino Acid 1 gm 100ct ..........@.. 10.50 ______ #325 Cherry Cod Liver Oil 12fl.oz ..........@.. 7.50 ______ #329 Cod Liver Softgel 250ct ..........@.. 11.95 ______ #345 Super MaxEPA Softgel 100ct ..........@.. 24.95 ______ Fiber/ Digestion/Herbal #369 Allerdophilus caps 100ct ..........@.. 20.50 ______ #373 Betaine HCL Caps 100ct ..........@.. 14.25 ______ #376 Fibersol Caps 200ct .........@.. 17.50 ______ #383 Pancreatin Caps 50ct .........@.. 8.50 ______ #361 Super Acidophilus Caps 60ct ..........@.. 28.95 ______ #390 Super Enzyme Caps 200ct ..........@.. 34.50 ______ #386 Super Garlic Caps 75ct ..........@.. 13.50 ______ #200 Aloe Vera Gel 50ct ..........@.. 9.99 ______ #227 Cat’s Claw 50ct ..........@.. 11.19 ______ #234 Activated Charcoal 100ct ..........@.. 9.99 ______ #246 Feverfew 100ct ..........@.. 10.39 ______ #286 Uva Ursi 100ct ..........@.. 7.79 ______ #308 Eyebright Plus 250ct ..........@.. 25.39 ______ #311 Dong Quai (Chinese) 100ct ..........@.. 12.69 ______ #248 Ginseng, Korean white 50ct ..........@.. 12.99 ______ #251 Ginseng, Siberian 100ct ..........@.. 8.39 ______ #1404 Daily Fatigue 60ct ..........@. 17.99 ______ #1409 Herbal Detox 50ct ........@.. 15.99 ______ #1411 Herbal Maxilife 60ct ..........@.. 19.49 ______ #0861 Mega Primrose 300 60ct ..........@.. 16.95 ______ #1417 Senior Formula 30ct ..........@.. 13.99 ______ #7276 Saw Palmetto Plus 250ct ..........@.. 16.99 ______ #7325 Echinacea Plus 250ct ............@.. 25.39 ______ #7350 Paul D’Arco Plus 250ct ..........@.. 16.49 ______ ---------------------------------------------------------------------------------------------------------------------- TOTAL PURCHASES From PAGE TWO......................... __________ Order No...description....dosage/quantity.....number @ cost...TOTAL DUE _____________________________________________________________________ TWIN LAB PRODUCTS SPORTS and NUTRITION PRODUCTS Weight Loss #407 B-slim chewi fiber wafer 50ct ..........@.. 10.50 ______ #408 Twinfast (chocolate) 1.48lb ..........@.. 23.50 ______ #410 Twinfast (strawberry) 1.39lb ..........@.. 23.50 ______ #409 Twinfast (vanilla) 1.39lb ..........@.. 23.50 ______ #637 Endurance Meal Replacement(Choc) 16oz .....@.. 12.95 ______ #638 Endurance/ Wt Control (Vanilla) 16oz .....@.. 12.95 ______ #418 AKG Fuel with Glutamine 120ct.....@.. 29.95 ______ #555 Amino Fuel -1500mg tablets 100ct ....@.. 20.95 ______ #756 Amino Fuel- 2000mg tablets 100ct ....@.. 25.25 ______ #697 Amino Acid Fuel Bars (Chocolate) 12ct ....@.. 32.88 ______ #698 Amino Acid Fuel Bars (Vanilla) 12ct ....@.. 32.88 ______ #744 Amino Fuel Waffers 100ct ....@.. 19.95 ______ #746 Amino Fuel Liquid Concentrate 32fl.oz ....@.. 25.95 ______ #747 Amino Fuel Powder 1.9lb ....@.. 25.95 ______ #752 Amino Fuel Tablets 1000mg 150ct ....@.. 19.50 ______ #755 Amino Fuel Tablets 2000mg 100ct ....@.. 24.25 ______ #874 Anabolic Fuel Caps 120ct ....@.. 33.50 ______ #844 Antioxidant Fuel Caps 60ct ...@.. 27.95 ______ #842 Anti-catabolic Fuel Caps 120ct ....@.. 34.95 ______ #759 Carbo-Fuel 43oz ....@.. 20.50 ______ #856 Carni Fuel Caps 60ct ....@.. 18.95 ______ #761 Chromic Fuel 200ct.....@.. 17.25 ______ #887 Creatine Fuel Caps 120ct ....@.. 29.95 ______ #891 Creatine Fuel Powder 8oz ....@.. 55.95 ______ #323 Diet Fuel Caps 120ct ...@.. 28.50 ______ #105 Diet Fuel Powder(Chocolate) 1.56lb ....@.. 35.50 ______ #106 Diet Fuel Powder(Strawberry) 1.56lb ....@.. 35.50 ______ #107 Diet Fuel Powder(Vanilla) 1.56lb ....@.. 35.50 ______ #687 Diet Fuel Bars(Chocolate) 12ct ....@.. 32.88 ______ #688 Diet Fuel Bars(Vanilla) 12ct ....@.. 32.88 ______ #155 Diet Fuel Packets(Chocolate) 14ct ....@.. 35.50 ______ #156 Diet Fuel Packets (Vanilla) 14ct ....@.. 35.50 ______ #157 Egg Fuel (Chocolate) 1.72lb ....@.. 32.95 ______ #158 Egg Fuel (Vanilla) 1.72lb ....@.. 32.95 ______ #765 Gainers Fuel (Chocolate) 3.9 lb ....@.. 32.95 ______ #766 Gainers Fuel (Vanilla) 3.9 lb ....@.. 32.95 ______ #767 Gainers Fuel (Strawberry) 3.9 lb ...@.. 32.95 ______ #768 Gainers Fuel 1000 (Chocolate) 4.36lb ...@.. 35.95 ______ #769 Gainers Fuel 1000 (Vanilla) 4.36lb ...@.. 35.95 ______ #770 Gainers Fuel 1000 (Strawberry) 4.36lb ...@.. 35.95 ______ #011 Gainers Fuel 1000Fat free (Choc)4.21lb ...@.. 35.95 ______ #012 Gainers Fuel 1000Fat free (Van) 4.21lb ...@.. 35.95 ______ #805 Gainers Fuel 2500(Banana) 9.31lb ...@.. 47.95 ______ #806 Gainers Fuel 2500(Chocolate) 9.31lb ....@.. 47.95 ______ #807 Gainers Fuel 2500(Strawberry 9.31lb ...@.. 47.95 ______ #809 Gainers Fuel 2500(Vanilla) 9.31lb ...@.. 47.95 ______ #019 Gainers Fuel 2500Fat free (Choc)8.72lb . ..@.. 47.95 ______ #020 Gainers Fuel 2500Fat free (Van) 8.72lb ...@.. 47.95 ______ #692 Gainers Fuel Bars 12ct ...@.. 38.88 ______ #885 GH Fuel Caps 90ct ....@.. 32.50 ______ #772 GH Fuel Cocktail 11.9oz ....@.. 33.95 ______ #416 Glutamine Fuel Caps 20ct ....@.. 24.95 ______ #414 Glutamine Fuel Powder 4oz .....@.. 23.95 ______ #876 Herbal Fuel Caps 20ct .....@.. 22.50 ______ #823 Hydra Fuel Pwd (Fruit Punch) 44.3oz ....@.. 12.95 ______ #824 Hydra Fuel Powder (Orange) 44.3oz ....@.. 12.95 ______ #825 Hydra Fuel Pwd (Lemon/Lime) 44.3oz ....@.. 12.95 ______ #862 KIC Fuel Caps 100ct ....@.. 42.95 ______ ---------------------------------------------------------------------------------------------------------------------- TOTAL PURCHASES From PAGE THREE......................... __________ Order No...description....dosage/quantity.....number @ cost...TOTAL DUE ______________________________________________________________________ #864 Lipotropic Fuel Cap 100ct .....@.. 34.50 ______ #320 Mass Fuel Fatfree(Choc)P. 3.77lb .....@.. 32.95 ______ #321 Mass Fuel Fatfree(Vanilla) 3.77lb .....@.. 32.95 ______ #814 MCT Fuel Liquid 32fl.oz .....@.. 25.95 ______ #151 Mega Chromic Fuel 100ct ......@.. 17.95 ______ #818 Nitro Fuel Powder 1.17lb .....@.. 37.95 ______ #866 OKG Fuel Caps 100ct .....@.. 32.95 ______ #650 OKG Fuel Powder 4oz ......@.. 47.95 ______ #782 Opti Fuel Powder (Original) 2.5 lb ......@.. 31.95 ______ #845 Opti Fuel 2 Powder (Choc) 3.18lb ......@.. 35.50 ______ #846 Opti Fuel 2 Powder (Fruit P.) 3.18lb ......@.. 35.50 ______ #847 Opti Fuel 2 Powder (Orange) 3.18lb ......@.. 35.50 ______ #848 Opti Fuel 2 Powder (Vanilla) 3.18lb ......@.. 35.50 ______ #877 Phos Fuel Caps 180ct ......@.. 19.50 ______ #858 Potassium Fuel Caps 100ct ......@.. 17.95 ______ #882 Power Fuel (Orange) 3.22lb ......@.. 37.95 ______ #883 Power Fuel (Fruit Punch) 3.22lb ......@.. 37.95 ______ #884 Power Fuel (Lemon Lime) 3.22lb ......@.. 37.95 ______ #350 Pro Fuel (Vanilla) 2.02lb ......@.. 29.50 ______ #351 Pro Fuel (Strawberr) 2.02lb ......@.. 29.50 ______ #352 Pro Fuel (Chocolate) 2.02lb ......@.. 29.50 ______ #832 Ripped Fuel 120ct ......@.. 7.95 ______ #550 Ripped Fuel Powder (Choc) 1.48lb ......@.. 35.95 ______ #551 Ripped Fuel Powder (Vanilla) 1.48lb ......@.. 35.95 ______ #552 Ripped Fuel Powder (Fruit P.) 1.48lb ......@.. 35.95 ______ #153 Rx Fuel Packets (Chocolate) 10ct ......@.. 32.95 ______ #154 Rx Fuel Packets (Vanilla) 10ct ......@.. 32.95 ______ #868 Sport Fuel With Iron Caps 120ct ......@.. 36.95 ______ #872 Sports Fuel Without Iron Caps 120ct ......@.. 36.95 ______ #307 Super Gainer’s (Choc. Royale) 10.3lb ......@.. 59.95 ______ #308 Super Gainer’s (Banana Split) 10.3lb ......@.. 59.95 ______ #309 Super Gainer’s (Straw.Supreme)10.3lb ......@.. 59.95 ______ #310 Super Gainer’s (VanillaDelight)10.3lb .....@.. 59.95 ______ #420 Super Vanadyl Fuel 120ct ......@.. 29.95 ______ #699 Ultra Fuel Bars (Chocolate) 12ct ......@.. 35.28 ______ #700 Ultra Fuel Bars (Vanilla) 12ct ......@.. 35.28 ______ #701 Ultra Fuel Bars (Berry) 12ct ......@.. 35.28 ______ #702 Ultra Fuel Bars (Banana) 12ct .....@.. 35.28 ______ #819 Ultra Fuel Powder (Fruit Punch) 52.8oz ....@.. 17.95 ______ #820 Ultra Fuel Powder (Orange) 52.8oz ....@.. 17.95 _ _____ #821 Ultra Fuel Powder (Lemon Lime) 52.8oz ....@.. 17.95 ______ #822 Ultra Fuel Powder (Grape) 52.8oz.....@.. 17.95 ______ #881 Vita Fuel without Iron 150ct ....@.. 38.95 ______ ---------------------------------------------------------------------------------------------------------------------- TOTAL PURCHASES From PAGE FOUR......................... __________Name________________________________ return copy of purchase to Address______________________________ fax number: ______________ City_________________State___ Zip______ Phone number ( _)___________________ best time to call___________ Signature_____________________________ MIDWEST MEDICAL FITNESS, professional corporation
29355 Northwestern Hwy. Suite 120 Southfield, Michigan 48034
TWINLAB VITAMIN PRODUCTS ORDER FORM
phone 1(800)612-5892 fax 1(248)358-2513
*Due To Supplier Cost Increases, Prices are Subject to Change Without Notice* *We call to confirm all orders-- first with you and then the Credit Card Company* *All orders require identifying information entered on your Credit Card Application.*
Payment with [ ] VISA [ ] Master Card [ ] Discover
card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
valid thru __ __ __ __ (mo yr)
TOTAL Page One $________.____ TOTAL Page Two $________.____ TOTAL Page Three $________.____ TOTAL Page Four $________.____ TOTAL ORDER $________.____ 10% Discount -________.____ if purchase over $ 50.00 net after discount 10% Discount -________.____ if purchase over $150.00 net after discount 10% Discount -________.____ if purchase over $250.00 net after discount AMOUNT DUE ______.____ after discount
Add 6% Michigan Sales Tax +________.____ 3% Credit card fee +________.____
Shipping Costs +________.____
PAY THIS AMOUNT ______.____
Fax orders to us at (248) 358-2513**; phone us at (248) 358-3433 :
We confirm all purchases and final price
Installed: July 1, 1996
UPdated: May 10, 1997
