| SiCap Industries Product Order Form- Use this form only if you are sending a check or money order- This form is PRINTABLE ONLY. Print This Form and send it with a check or money order. |
SiCap Industries
P.O Box 27
Guilderland, New York 12084
Phone: (518) 869-1165 0r 1 |
Name |
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| Address |
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| City, State, Zip |
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| Telephone |
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| Item |
Price |
Qty |
Total |
| Original Sinus Buster |
$13.99 |
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| Metered Dose Spray Sinus Buster Classic |
$15.99 |
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| Sinus Buster Allergy Formula |
$15.99 |
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| Sinus Buster Headache Formula |
$15.99 |
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| Sinus Buster Anti-Cold Formula |
$15.99 |
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| Sinus Buster Weight ControlFormula |
$15.99 |
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| Sinus Buster Stop Smoking Formula |
$15.99 |
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| Sinus Buster Mild Formula |
$15.99 |
|
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| Capsiderm Face Wash |
$29.99 |
|
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| Allergy Special (1 classic Metered Dose Sinus Buster & 1 Sinus Buster Allergy Formula) |
$23.99 |
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| Mild Special (1 classic Metered Dose Sinus Buster & 1 Sinus Buster mild Formula) |
$23.99 |
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| Mild Sinus Buster Formula |
$15.99 |
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| 1 PepperTrim |
$29.99 |
|
|
| Sinus Genie Nasal Rinse |
$14.99 |
|
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| Sinus Genie Nasal Salt |
$17.99 |
|
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| Special Sinus Genie Salt & Rinse |
$26.09 |
|
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| Rhino Pot |
$15.99 |
|
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| Special Rhino Pot & Sinus Buster Mild |
$25.99 |
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New York residents add tax .08 |
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Add shipping & Handling |
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Total |
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