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Order on-line simply by using the form below
or print off the
Order Form
and send it to us.
Life Prevent GmbH
Passauer Str. 23
A-5163 Mattsee
Phone: 0800 / 999 6 222
Fax: 0800 / 999 6 223
Products
Name
Contents
Unit Price
Number
Total Price
Colon Guard
180 Capsules
69,90 €
€
Metabol Guard
120 Capsules
59,90 €
€
Sub-Total
€
Postage and Handling
€
Grand Total
€
Billing Address
Company *
Title *
First Name *
Last Name *
Street, House No. *
Postal code, City *
Telephone No. *
e-Mail *
Mailing Address
Company
Title
First Name
Last Name
Street, House No.
Postal code, City
Telephone No.
Please complete the mailing address only if it
is different from the billing address.
Payment
Payment via Direct Debit
.
Bank *
BLZ *
Account No. *
Terms and Conditions
I hereby order subject to the
terms and conditions
of Life Prevent.
The above prices are inclusive of the
statutory VAT. Delivery takes place free
of charge by mail or shipping on any
order over € 100, - net, including a
postage fee of € 4,90.
Payment in advance
.
Bank account:
Salzburger Landes-
Hypothekenbank AG
Bank account:
Kasseler Bank, Kassel
Account No:
115 0000 3224
Kto-Nr:.
724 904
BLZ:
550 00
BLZ:
520 900 00
IBAN:
AT 54 5500 0115 0000 3224
IBAN:
DE77520900000000724904
BIC:
SLHYAT2S
BIC:
GENODE51KS1
Please provide the name of your attending physician, naturopath/alternative practitioner or therapist, if available.
not specified
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Life Prevent GmbH
Passauer Straße 23
A-5163 Mattsee