ORDER FORM

Welcome to Performance Nutrition. 
If you wish to order by mail, please print and mail the below order form along with your payment.  Any questions please call 1-800-991-7325.

Mail Check or Money Order To:  Performance Nutrition
150 Highland Avenue, Seekonk, MA 02771 or Fax (508) 336-0836

Item #

Qty

Description (Include Size or Flavor)

Price

Total

Catalog

1

Performance Nutrition Free Color Catalog

$0.00

$0.00

         
         
         
         
         
         
         
         
         
         
         
   

Subtotal: 

 
   

MA add 5% Sales Tax: 

 
   

*Shipping Charge: 

 
   

Total: 

 

If other than UPS Ground - Please Check Off Shipping Type: (YOU MUST CALL US FOR A RATE):
US Mail ____  Next Day ____  2nd Day ____  3rd Day   _____

*FREE SHIPPING for Order Over $299 (weigh less than 20 lbs.), Shipping $6.95 for Order Under $299  (weigh less than 20 lbs.), for US Addresses Only via UPS Ground.  Orders over 20 lbs. please call us for shipping weight.  Please read our Ordering Information page before placing your order or call our office for a rate.



Name: _____________________________________________    

Tel.#:  _____________________________________________

Address:    __________________________________________

City:___________________  State: _______ Zip: __________      

Where did you first hear about us?    

_____________________________________
(New customers Only:  Which Magazine, Flyer, Internet, Friend, etc.)    

Method of Payment:  (Personal Checks - Orders ship when cleared)
MONEY ORDER:___ CHECK:___  AMEX ___VISA____     MASTERCARD:___  DISCOVER: ___                                                    
Card #    __________________________________   

Exp. Date:     ___________                                                                    
Print name as it appears on card:______________________________                                         
Signature:   ______________________________________________

Credit Cards must have a US Billing Address.  We do not accept Debit Cards.  Performance Nutrition reserves the right to refuse any credit card order that does not meet our stringent policy.