Premier Nutrition Order Form

Please print and fill out (in black ink) this form and fax to us at (806) 481-2000 or mail to:

Premier Nutrition Technologies

P.O. Box 532

Farwell, TX 79325

All shipping and handling costs are included in the prices listed below. 
Your product will be shipped within 24 hours upon receipt of order.

  

Qty. Product Price

FINAL FORxCE

with Paylean, L-Carnitine, and Chromium

 $70.00

Millennium 

for lean gain and muscle development

 $60.00

BYPASS 2000

The leader in ByPass Protein for Ruminants

 $50.00

HYDRATORx

Ultimate Fluid Replacement System

 $45.00

$         

 

Name:
Billing Address:
City:    State: 
Zip Code:

 

Shipping Address 
(if different from billing)
Daytime Phone:
E-mail
Credit Card#
Expiration (mm/yr)
Is this a Residential Address?   Yes   No

All products are shipped via US Postal Service

Copyright © 2003 Premier Nutrition Technologies. All Rights Reserved.