Candida Products and Supplements Order Form

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Candida Products and Supplements

Order Form

New!

East-West Clinic now takes orders with your VISA

or Master Card

.
You can order by calling the East West Clinic:
Toll-free number: 1-877-401-4757 or call (651) 429-9595.

For mailing orders, send a check or money order payable to the East West Clinic, or mail your credit card information, along with the form to:
East West Clinic, 5770 W. Bald Eagle Blvd., White Bear Lake, MN 55110.

If you want to order by fax, please fax this form with your credit card information to: (651) 429-9595.

You may contact the East West Clinic with questions about these products at (651) 429-9595.

Name:
Address:
City/State/Zip:
Area Code/Phone#:

Product	Quantity	Sub-total
Caprol ($ 28.00)
Bentonite ($ 17.00)
Psyllium ($ 23.00)
Acidophilus ($ 13.00)
Grapefruit Seed Extract, liquid form ($ 12.00, one month supply)
Kolorex ($ 40.00; two month supply)
Primal Defense ($ 33.00)
Olive Leaf Extract (SOLE) ($ 21.50)
Triple Yeast Defense ($ 16.00)
Oxycleanse ($ 18.00)
Vein Lite ($ 40.00)
DermaSoothe ($ 15.00)
Clear. (Trade mark for a parasite cleanse. $ 75.00 three month supply)
Absorbaid ($ 15.00)
Herbal Ointment ($ 11.00)
Calcium, Magnesium, Zinc ($ 5.00; 100 tabs)
C complex 1000 mg ($ 13.00)
Vit. E 1000 IU ($ 13.00)
Multilogics ($ 20.00)
Glucosamine sulfate ($ 23.00; 90 capsules)
MSM ($ 9.00; 90 caps)
Choline with Inositol 250 mg ($ 10.00; 100 tabs)
CoEnzyme Q 10 60 mg ($ 30.00)
EFA Complex ($ 8.00; 60 caps)
Shipping and handling will be added to your bill.
Total Order:

If paying with a credit card, please fill this section:

Name:
Credit card (check one): VISA MasterCard
Credit card number:
Expiration date:

Call 651-429-9595 for shipping charges outside the US. Please do not send cash through the mail.

Contact Us

5770 W. Bald Eagle Blvd., White Bear Lake, MN 55110
Tel./Fax: (651) 429-9595

E-mail East-West Clinic