Pherazone Printable Order Form

To place an order by Mail or Fax, fill it out this form online, then click the "Calculate Your Totals and Print" button at the bottom of the page, and either mail or fax it to us. If you don't have a printer, click here.

Step 1: Enter your order information

Please fill out the form below by adding the quantities you want for each product. Don't forget to choose the correct shipping option

Products for Men	Unit Price (in US Dollars)	Quantity
2 bottles of Mens Pherazone Plus FREE bottle 1 Free DVD	$197.00
2 bottles of Mens Pherazone Unscented Plus FREE bottle 1 Free DVD	$197.00
1 bottle of Mens Pherazone 1 Free DVD	$98.95
1 bottle of Mens Pherazone Unscented 1 Free DVD	$98.95
1 bottle of Mens Pherazone	$98.95
1 bottle of Mens Pherazone Unscented	$89.95
5 bottles of Pherazone Plus 2 FREE bottles 1 Free DVD	$494.95
5 bottles of Pherazone Unscented Plus 2 FREE bottles 1 Free DVD	$494.95
Products for Women	Unit Price (in US Dollars)	Quantity
2 bottles of Womens Pherazone Plus FREE bottle 1 Free DVD	$197.00
2 bottles of Womens Pherazone Unscented Plus FREE bottle 1 Free DVD	$197.00
1 bottle of Womens Pherazone 1 Free DVD	$98.95
1 bottle of Womens Pherazone Unscented 1 Free DVD	$98.95
1 bottle of Womens Pherazone	$98.95
1 bottle of Womens Pherazone Unscented	$89.95
5 bottles of Pherazone Plus 2 FREE bottles 1 Free DVD	$494.95
5 bottles of Pherazone Unscented Plus 2 FREE bottles 1 Free DVD	$494.95
Shipping & Handling
Within the U.S. Parcel Post (USPS) 7-10 days: Add $9.99 Express Shipping (USPS) Overnight: Add $29.99 $500 order - (USPS) 7-10 days: Add $14.95 $500 order - Express Shipping (USPS) Overnight: Add $37.95 International Orders First Class Mail International: Add $ 24.95

We can ship your order anywhere in the U.S. as well as internationally.

Name
Address
City / Town
State	(for US orders only)
ZIP / Postcode
Country
Phone
E-Mail

Step 3: Select payment method

Please choose either payment option 1 or 2 and follow the instructions below.

OPTION 1: Money Order / Check by Mail
If you are placing your order by MAIL and are paying by money order or check, send this form along with your payment payable to Pherazone to the following address:

Pherazone
PO BOX 56822
Sherman Oaks, CA 91413

Orders paid by personal check will be held until check clears.

OPTION 2: Credit Card by FAX
If you are placing your order by FAX and are paying by credit card, enter your credit card information below, click the print button and fax this form to our toll-free number (818)-479-9307.

Name on Card
Card Type
Card Number
Exp. Date
Card Verification Code (CVV2)

If the credit card billing address is different than the shipping address provided above, provide the billing address here:

Address
City	State	Zip
Country
Phone
E-Mail