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Auto-ship Order Form

 

Your First Name:

Your Last Name:
Sponsor's Full Name:
Sponsor's User Name:
Shipping Street Address:
City:
State:
Zip:
Phone Number:
Email Address:

Billing Street Address: (if different from shipping address)
City:
State:
Zip:


Choose initial purchase of RhodiGandha

The 4 bottle cases are $129.95 each plus shipping of $16.95 each


One $146.90  Two $293.80

Or purchase by the bottle

One $69.90 ($59.95 + $9.95S/H)  Two $99.90 ($86.95 + $12.95S/H)

 


Choose auto-ship purchase of RhodiGandha

The 4 bottle cases are $129.95 each plus shipping of $16.95 each.

One $146.90 Two $293.80

Or purchase by the bottle

One $69.90 ($59.95 + $9.95S/H) Two $99.90 ($86.95 + $12.95S/H)

No Auto-Ship $0.00


Pay by personal check:

Bank Name:
Routing Number:
Account Number:

     

I understand that I am signing up for a monthly autoship order of 1 or 2 cases of RhodiGandha every month as indicated above.  If I would like to change my autoship I can do so once we go into pre-launch through the back office or by sending an email to orders@RhodiGandha.com


You will receive a text requesting payment for your initial order and your ACH autoship will kick in after that.  Please print out ACH-FORM and return to RhodiGandha within 15 days.


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