Please make checks payable to: bworks.com, Inc.
Mail to: 26720 Affirmed Drive, Wesley Chapel, FL 33544
Fax: (707) 202-2178
Name: ____________________________ Phone Number: ______________________
Shipping Address: _______________________________________________________
_______________________________________________________ (include city, state, zip)
E-mail: ____________________________
Quantity

Product Description

Price
(Each)
Total
_______
"We've Got You Covered" Kit (small) - includes:
1 Skin Cap Spray 3.33 oz | 1 Skin Cap Cream 1.76 oz | 1 Skin Cap Shampoo 4.99 oz
$75.00 ________
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"We've Got You Covered" Kit (large) - includes:
1 Skin Cap Spray 6.66 oz | 1 Skin Cap Cream 1.76 oz | 1 Skin Cap Shampoo 4.99 oz
$98.00 ________

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 Skin Cap Spray - 6.66 oz.
Buy 4 get 5 1/2 price! ($261.00) [Quantity: 5]		 $58.00

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 Skin Cap Spray - 3.33 oz.
Buy 4 get 5th 1/2 price! ($157.50) [Quantity: 5]		 $35.00

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 Skin Cap Cream - 1.76 oz. $23.00 ________

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Skin Cap Shampoo - 4.99 oz. $17.00 ________
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Skin Cap Capsules - 90 Capsules
Buy 3 get 4th 1/2 price! ($105.00) 		$30.00 ________
       
Would You Like this Order Refilled Automatically? (Credit Card Orders Only)
Monthly Every 2 Months Every 3 Months Every 6 Months
  SUB TOTAL ________
 

Alabama residents - please add 8.00% sales tax

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    SHIPPING

Min. 11.95
Will be calculated for Int'l orders

    TOTAL: ________

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