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Please print out this order form for mailing or faxing
We have found the best way to do this is print out the entire page, fill in the necessary information and send to
- Mail to: Equus-RX 71 McKinley Dr. Norwich, CT 06360 USA 800-881-9304 between 9-4 eastern time
- Fax to: Questions: 860-237-4892 or mary@equus-rx.com Date:_________
Your Full Name:_________________________
Shipping Address:_______________________________________________
City:___________________State or Province:_____________ Postal Code:__________ Country:___________
Your Phone # : ________________________ Email______________________
Name and Address as it appears on the credit card:
Your Full Name:______________________________
Shipping Address:____________________________________________
City:_____________State or Province:______________ Postal Code:____________Country:____________
Your Credit Card # __________________________ Expiration Date:_______ 3 digits on back of card _______
Today’s Order
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Item
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Amount Ordered
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Price
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Subtotal
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Equus-RX PRO
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197.00
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1 Time Nutritional Analysis
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35.00
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Sub Total ______________
FREE Shipping _______0______
Total ______________
Comments or description _____________________________________________
Payment: [ ] Check enclosed [ ] Money Order Enclosed (USD)
Send to:
Equus-RX 27 Tanglewood Dr. Norwich CT. 06360.
If you have any questions or if I can help you in any way, please drop me a note at Mary@equus-rx.com or
call 860-237-4892 between 9-4 eastern time
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