ORDER FORM

 

PLEASE PRINT OUT & MAIL WITH CHECK OR MONEY ORDER


ORDER YOUR COOKIES TODAY!!!

and receive a free bonus...NEW! Quick Start Guide to weight loss

 

Yes, please send me the Geneva Health Cookie Diet! I understand it is fully guaranteed.

I am ordering:  [ ] 1 box: $29.90 [ ] 2 boxes: $49.90  [ ] 3 boxes: $64.90

Ship to:

Name:                                                                                                                                       
Address                                                                                                                                    
City                                                                      State______________ Zip______________
Telephone__________________________ E-Mail                                                                   

                                                                                                              OFFICE USE  588828

I would like to lose: [ ]less than 20 lbs. [ ]between 20 and 50 lbs. [ ] more than 50 lbs.


Send your order and payment to:

Geneva Healthways

Dept. DB: Pmb 8317

13681 Newport Ave.

Tustin, California 92780

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