ORDER FORM

Please complete and print order form, and send with payment to:

Vital 02,
C/- Reach for Life
Factory 2/ 61 Rushdale St,
Knoxfield 3180 

or fax details with credit card information to:
Fax: 03 5288 7015

Please do not send credit card details via email as email is not secure!

Please provide the following contact information:

Name
Postal Address
City
State
Post Code
Country
Contact Phone
FAX
E-mail

Please provide the following ordering information:

FREIGHT IS CALCULATED ACCORDING TO WEIGHT AND KEPT TO A MINIMUM
TAKE A FURTHER 5% OFF DISCOUNTED PRICE WHEN ORDERING MULTIPLE BOTTLES OF THE SAME SIZE

PRODUCT DESCRIPTION SIZE PRICE QUANTITY TOTAL
OXYRICH  50ml $15.95
  250ml $36.00
  500ml $49.95
  1 Litre $85.00
SPORTS OXYSHOT 250ml $49.95
COLLOIDAL MINERALS XL 500ml $39.95
COMPLEX MINERALS  XXL - 250ml $32.95
  500ml $49.95
PET OXYRICH 250ml $29.95
    FREIGHT
    TOTAL

Payment Details

1. Paying by Cheque - Make cheques payable to: Vital O2
2.  Paying by Direct Deposit
    Direct Deposit Commonwealth Bank of Australia  BSB 063 629 Account No:10062946
    If paying by direct deposit please fax or mail a copy of the transfer receipt from your bank as confirmation of 
    payment. Orders will not be sent out until paid in full.
3. Payment by Credit Card - please complete Credit Card form below.

Bankcard

Mastercard

Visa

 
Card Number -  -  - 
Expiry Date /
Cardholder & Signature

  Any other instructions, comments or questions

Thank you for ordering from Vital O2, your order will be processed asap.

 

Its all about Oxygen and Fulvic Trace Elements