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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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deutsch
Life Prevent GmbH
Passauer Straße 23
A-5163 Mattsee