RAE’lex Health Care RHC
25888 State Rd. 73 N.W
Altha, Florida 32421
Toll Free 1-866-690-8015
Order Form Price Quantity Totals
RAE’lex Circulation Formula 2 oz. 17.99 ea. _______ ________________
RAE’lex Wound Care 4 oz. 25.99 ea. _______ ________________
RAE’lex Lotion 6 oz. 13.99 ea. _______ ________________
Made with vitamins A, B, C, D & E
RAE’lex Skin Therapy 1 oz. 8.99 ea. _______ ________________
Made with omega 3,6 9 fatty acids ( emu oil )
and vit E
RAE’lex Skin Therapy 15.99 ea. _______ ________________
Made with omega 3,6 9 fatty acids ( emu oil )
and vit E
RAE’lex Facial Soap 3.5 oz. 3.99 ea. _______ ________________
Made with omega 3,6,9 fatty acids and
Vit A,C,D,E
RAE’lex Pain Relief 4 oz. 13.99 ea. _______ ________________
Made with emu oil, glucosamine,
msm, chondroitin, aloe vera
Diabetic Socks 9.99 per pair _______ ________________
Subtotal ________________
ADD Cost x 7 % tax for orders within State of Florida ----------
SHIPPING COST
1 Product 4.85 ________________
2-3 Products 5.50 ________________
4-5 Products 6.50 ________________
6-12 Products 7.50 ________________
Add 1.50 for every two
products over 12
5% discount for 12 or
more products. _______________
TOTAL: _________________
MAIL PAYMENT WITH ORDER FORM
Name ______________________
Address _____________________
City _________________________
Ph # ________________________