Mail or FaxYour Order To: Enzyme Essentials, LLC, 1817 Lubbock St. Houston, TX 77007 FAX: 713-771-5072 E-Club Orders: When you join the E-Club, you will receive your designated enzyme supplements shipped automatically to you on a monthly basis until you request us to discontinue. If you are serious about taking digestive enzymes, this is the most efficient and cost effective way to accomplish your goal. As an E-Club member you also will get a discount on any other enzyme products you order. Basic E-Club Package (OxiCellZyme & Plantadophilus) ______ @ $49.95 = $__________ Enhanced E-Club Package (OxiCellZyme & Plantadophilus) + PureZyme Option (web site for details) ______ @ $69.95 = $__________ or + SoyZyme Option (web site for details) ______ @ $69.95 = $__________ Individual Product Orders: OxiCellZyme (180 caps) ______ @ $34.95 = $__________ Plantadophilus (90 caps) ______ @ $34.95 = $__________ PureZyme (120 caps) ______ @ $37.95 = $__________ SoyZyme (60 caps) ______ @ $29.95 = $__________ GastroZyme (100 caps) ______ @ $19.95 = $__________ CalmZyme (100 caps) ______ @ $19.95 = $__________ ReleaseZyme (100 caps) ______ @ $19.95 = $__________ LypoZyme (60 caps) ______ @ $27.95 = $__________ DigestZyme (120 caps) ______ @ $37.95 = $__________ ExcelZyme (60 caps) ______ @ $19.95 = $__________ [Other] ______________________ ______ @ $_____ = $__________ Sub-total --------------- _____ $ __________ Shipping & Handling ---- $ __________ $3.00 + $1.00 per btl. or $5.00 per E-Club Pack Total $ __________ Payment Information: Credit Card Holder's Name exactly as appears on credit card: __________________________________________________ credit card billing address _______________________________________ zip _____________ (very important) (house #/apt. # and street name only) MasterCard___Visa___ Discover___AMEX___ CC # _____________________________ Exp. Date ________ Bill my credit card Check enclosed Money Order enclosed Enzyme Essentials, LLC, 2900 Wilcrest, Suite 220, Houston, TX 77042 (713-266-2117) Checks or Money Orders must accompany order. Your Signature: (required for CC order) X __________________________ Date______________ Please ship my order to: Name _________________________________________________ Adress ____________________________________ Apt #________ City _________________________ State _________ Zip ________ Phone Number (Area Code & No.) ________ _________________ Your E-Mail Address _____________________________________ ATTENTION ENZYME ESSENTIALS STAFF: This is a consumer referral order from Jeannie Lavender. Please credit accordingly. Thank you.