SUPPLEMENTS ORDER FORM
909-338-3533
IMPORTANT ORDERING INSTRUCTIONS !  
PLEASE TYPE IN ALL CAPS. THROUGH YOUR PRINT FUNCTION, SAVE IT AS A .PDF AND EMAIL IT TO US. OR YOU CAN JUST CALL IT IN.
 
SHIP TO: (UPS /Fedex Will Not Deliver To Post Office Boxes)
NAME:
STREET / P.O.:
CITY: STATE: ZIP:
TELEPHONE: EMAIL
 
  BILLING AND SHIPPING ADDRESS ARE THE SAME
BILLING ADDRESS: (If different than Shipping Address )
NAME:
P.O.BOX / OTHER
CITY: STATE: ZIP:
TELEPHONE: EMAIL
IMPORTANT NOTE: Please think your order through thoroughly since all products on this page are NON-REFUNDABLE. EXCHANGE FOR SAME OR LESSER VALUE OR COMPANY CREDIT ONLY

ITEM DESCRIPTION
 
ITEM
 
 
 # UNITS
 
ITEM PRICE
 
ITEM TOTAL

A.C.E.(Adrenal Cortex Extract)

Adrenal Cortex Sublingual Extract

  ÅNGSTROM COBALT LIQUID

 
 16 Fl. Oz. $22.95
 

ÅNGSTROM GERMANIUM LIQUID

 Ångstrom Germanium

   
 
   4 Fl. Oz. $29.95    

ÅNGSTROM MAGNESIUM LIQUID

 Ångstrom Magnesium Liquid

 
 
 
   

 ANTIVIRAL KIT

Lysine Orotate Products

 
 
 
LCO-7 30ml. + (2) Lysine Orotate 50 tab / $87.50
 

BOLUOKE® FIBINOLASE ENZYMES

FIBRINOLASE ENZYMES

NO RETURNS OR REFUNDS

 
 
3 bottles is a first course minimum SPECIAL ORDER
 

 CAYCE LIQUID HERBAL TINCTURE 4697-1

Cayce Herbal Tincture Formula 4697.1

 
 
 
 
   8 fl. oz. $58.00 ("Hoxey Formula" was a bad immitation  

CYTO-SHIELD 

CytoShield Luteolin Apigenin Tincture Complex

 
 
 
 
2 Fl. Oz. Glass Bottle $65.00
 
 

 DHEA / PREGNENALONE USP

PREGNENALONE/DHEA SUBLINGUAL

 
 
 
 
$32.00 / 2 Fluid Ounce
 
         

ELECTRIDINE 358.1 ACTIVE IODINE

(Original Cayce Detoxified Iodine)

ELECTRIDINE NATURAL IODINE PRODUCTS

 
 
Electridine 2% Tincture, 1 fl. oz. $41.95 OUT OF STOCK
 
Electridine Salve 1.5 oz. $62.95
 

ELEPHANT MEMORY

Premium Brain & Memory Formula 

Elephant Memory Premium Brain Formula

   
 
   Elephant Memory 60 Veg Caps $59.95    

ENZYMES

CULTURED PLANT ENZYMES

 
 
 

ESTRIOL OIL

ESTRIOL OIL 2 FL OZ.

         
 2 Fl. Oz. Pump Bottle $51.95
   

ESTROGEN DEFENSE

Estrogen Defense Herbal Formula 

 
 
 
 60 gel capsules / $39.95
 

 GINSST-15 PROF.GINSENG

GinST15 Fermented Ginseng Extract

 
 
           

IRIDODIAL™ Liquid

Iridodial Info.

 
 
 
 

L.C.O.-7 OZONIDE SERUMS

LCO-7 Ozonide Serum Flyer

 
 
 
 

  LITHIUM OROTATE (Orig.Nieper)

Lithium Therapy Benefits

 
 
 
 

  L-LYSINE OROTATE

Lysine Orotate Products

 
 
  600 mg. / 50 tabs $18.50  

MLS-02™ 100% HIGH pH CONCENTRATE

MLS-02™ High pH Liquid

 
 
 

 NANO-SPHERIC LIPOSOMAL

VITAMIN C SERUM

Oral Nano Lipisome Supplements

 
 
 

 NANO-SPHERIC LIPOSOMAL

GLUTATHIONE SERUM

 Oral Nano Lipisome Supplements

 
 
 

NATRAGEST PROGEST. CREAM

NatraGest USP Progesterone Cream

 
 
2 oz. Cream $31.95
 

N.O.BOOST SUBLINGUAL

NitricOxideBoost Liquid Sublingual 

   
 
   1 fl.oz. Dropper $55.00  

PREGNENALONE TRANSDERMAL LIPISOME SERUM

Pregnenalone Transdermal Liposome Serum 

   
 
   30 ml Airless Pump $48.00  

 PREGNENALONE / DHEA Sublingual

PREGNENALONE / DHEA

 
 
 
 $32.00 / 1 Fluid Ounce
 

 PROGESTERONE TRANDERMAL SERUM

USP Progesterone Pleolyposome Serum

 
 
50 ml. Pump $44.95
 

RE-E-LAX HERBAL LIQUID

RE-E-LAX Herbal

 
 
 
 

SINUS FLUSH

Sinus Flush

 
 
 
 
 44 fl. nasal spray $29.95
 

S.O.D./ CATALASE ENZYME SERUM 

SOD/Catalase Enzyme Liposomal Serum

 
 
 
30 ml. Oral/Topical $49.95
SPECIAL ORDER ONLY. ALLOW 10-15 BUSINESS DAYS.
 

 STRESS BUSTER

StressBusterSleep Aid + Adrenal Support

 
 
 
 
 

T.M.G.(Trimethylglycine USP-European Origin)

TMG INFO

 
 
 
               

ITEM SUBTOTAL 

 

(Products are only taxable for Residents of CA @ 8.0 %) CALIFORNIA SALES TAX

 

ITEM TOTAL 

 

SELECT  SHIPPING METHOD
   

 

 

DOMESTIC SHIPPING:

Orders valued $100+ Require Signature Confirmation

PLEASE Call for Quote on Larger or Heavier Packages or Retine-C Orders

 
 

EMAIL ADDRESS TO SEND TRACKING INFO TO (ALL CAPS PLEASE)

 

  Email me tracking info.
 
     

ITEM TOTAL FROM ABOVE

 

 SHIPPING & HANDLING TOTAL

 

TOTAL AMOUNT DUE

 

 PAYMENT INFO.
PLEASE TYPE IN ALL CAPS FOR EASY READING. THANKS !
CUSTOMER NAME:
SHIP TO ADDRESS: STREET /PO BOX
 CITY STATE ZIP
TELEPHONE:

PLEASE CHOOSE PAYMENT METHOD BY SELECTING FROM MENU

NOTE: Orders with current stock will ship within 48 hours of verification of funds. Orders paid for with personal check will ship within 24 hours after verification of funds which if for out fo state checks can add 4-7 business days. If we're backordered, we'll call to inform you prior to processing the order. SPECIAL ORDER ITEMS ARE SUBJECT TO AVAILABILITY FROM OUR SUPPLIER. PLEASE ALLOW 12-14 BUSINESS DAYS .
 
CARDHOLDER NAME AS ON CARD:
CREDIT CARD #
EXP. DATE:
3-DIGIT CCV SECURITY VERIF. I.D. NO. ON BACK (On the back far right 3 digits )
VIRTUAL AUTHORIZATION SIGNATURE
PHYSICAL AUTHORIZATION SIGNATURE ___________________________________________________
PLEASE VERIFY CREDIT CARD BILLING ADDRESS INFO.
Credit Card Billing Address is THE SAME as above shipping address
Credit Card Billing Address IS DIFFERENT from shipping address (if yes,fill out info. below)
Card Billing Address:
City State ZipCode
Telephone

 **** PLEASE READ & ACKNOWLEDGE ****
 
PURCHASE TERMS & POLICIES
    REFUND POLICY : ALL Supplement products purchased from this website are NON-REFUNDABLE.
    Replacement of damaged products only. Company Credit Issued Valid for 6 mos. after which time it expires.
     
    SHIPPING/FULFILLMENT: All orders will be processed within 2-5 business days unless there is a backorder on a particular item in which case the customer is notified when placing the order. All orders are prepaid in advance. Backorders will be shipped as soon as available. If for some reason there is an undue delay in receipt of stock from a vendor, we will notify the customer and issue a credit for the item which was backordered or exchange it for another product at the customer's discretion.
  PLEASE CHECK THE BOX & SIGN BELOW
( WE CAN'T PROCESS THE ORDER WITHOUT THIS )
I have read and understand the terms of this order and agree to purchase terms. Virtual Signature

IMPORTANT NOICE: MANY HAVE ASKED WHY WE DON'T HAVE A SHOPPING CART SYSTEM TO MAKE ORDERING EASIER. WE DESIGNED IT THIS WAY INTENTIONALLY. WE REQUIRE NEW CLIENTS TO CALL IN TO DISCUSS THEIR NEEDS BEFORE ORDERING TO INSURE THEY DON'T ORDER INAPPROPRIATE PRODUCTS.
 
*** PLEASE PRINT OUT AT 80% ON YOUR PRINTER SO WE GET ALL INFORMATION & FAX IT IN AT NUMBER BELOW ***
--OR--
SAVE IT AS A PDF (usually available option through print window when you print a document) AND SEND IT AS A PDF EMAIL ATTACHMENT.
IT IS ENCRYPTED AND SAFER THIS WAY.
 

SO.CAL OFFICE 909-338-3533
E-mail: CBORMANN@DSLEXTREME.COM
©1994-2021 Arrowhead HealthWorks ™ P.O.Box 9178, CEDARPINES PARK, CA 92322
 
 ** Mandatory FDA Disclaimer: The statements & some of the products shown on this website have not been evaluated by the US Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. Those seeking treatment for a specific disease should consult a qualified integrative physician prior to using our products if possible. **