Please fill the blanks below to complete your order.

Personal Service Means:
All orders are processed by hand, so if there is any question about possible errors or duplicate orders,
you will be contacted by email/phone before you are billed. If you discover an error after sending,
simply submit a blank form with the corrections, your name, and the words "order correction" in any blank field.
Some things are done better the old fashioned way!
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How Many Bottles capsules? $29.95 ea. How Many Bottles Powder? $34.95 ea. How Many Spoon sets? $2.59 ea. Priority Mail? (Yes/No) +$4.30 Per Order Name and address should match billing information for Credit Card For alternate delivery, submit another order form with only your name, the change of address, and an explanation in the blank fields above. (eg: "please send to my work address", "please send to my mother, at...", etc ) Full Name (eg: Mary Smith) Home Phone number with area code (used only if there is a problem with your order) email address (eg: marysmith@yourisp.com) Foreign customers should fill in the next 4 lines as you would write your address in your country. (You will be contacted by email regarding shipping considerations for your country.) Street address (including Apt.#.) City State Zip Code Visa/MC Number Exp. Date (MM/YY) CCV Code (Last three digits from number on the signature area on the back of your credit card) This form is hosted on a secure server and your order will be transmitted using secure encryption technology. You may call toll free from 9-9 (Central time, USA) to place this order by phone: 1-877-478-4230 Your information will not be shared with any one, for any reason. Satisfaction with SooperGrape! products is Unconditionally guaranteed