Canada Mail Order Form
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Address 2:



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Order Information

I would like to order:

(price includes $6.66 CAD shipping)

1 bottle of Vilantae Capsules.....$56.61 CAD

2 bottles of Vilantae Capsules.....$106.56 CAD

3 bottles of Vilantae Capsules.....$156.51 CAD

1 bottle of Vilantae Powder.....$53.61 CAD

2 bottles of Vilantae Powder.....$100.56 CAD

3 bottles of Vilantae Powder.....$147.51 CAD

Other: Please specify and add total below:

(please write in and calculate total if ordering more than 3 bottles, or if you would like to order a different product.)
Shipping is a flat $6.66 CAD regardless of order size.

We will send you an email confirmation as soon as your order ships.

Please print this page and mail with
check or money order to:

Evolution-X Inc.
919 Conference Drive
Suite 4 # 276
Goodlettsville, TN 37072

Checks should be written out to Evolution-X. Delivery generally takes 3-4 days from the time we receive your order form.