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-Spray

  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
 

 DHEA / PREGNENALONE USP

PREGNENALONE/DHEA SUBLINGUAL

 
 
 
 
$32.00 / 2 Fluid Ounce
 

ELEPHANT MEMORY

Premium Brain & Memory Formula 

Elephant Memory Premium Brain Formula

   
 
   Elephant Memory 60 Veg Caps $59.95    

ESTROGEN DEFENSE

Estrogen Defense Herbal Formula 

 
 
 
 60 gel capsules / $39.95
 

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 $19.95  

 NANO-SPHERIC LIPOSOMAL

VITAMIN C SERUM

Oral Nano Lipisome Supplements

 
 
 

 NANO-SPHERIC LIPOSOMAL

GLUTATHIONE SERUM

 Oral Nano Lipisome Supplements

 
 
 

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
 

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 

 

8% CALIFORNIA SALES TAX for orders shipped to California only

 

ITEM TOTAL 

 

SELECT  SHIPPING METHOD
   

 

 

DOMESTIC SHIPPING:

 

Priority Mail Up to six 1-2 oz items or pill suppliments w/TRACKING $11.00
Priority Mail 7 or more items or liquids of 32 oz+ w/tracking $17.00

FedEx Air or Home Ground -- call

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 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 in stock will ship within 48 hours of receipt of funds. If we're backordered, we'll call to inform you prior to processing the order.
CARDHOLDER NAME AS ON CARD:
CREDIT CARD #
EXP. DATE:
3-DIGIT CCV SECURITY VERIF. I.D. NO. ON BACK
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:
Card Billing Address:
City State ZipCode
Telephone

    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.

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.
 
SAVE ORDER FORM AS A PDF (usually available option through print window when you print a document) AND SEND IT AS A PDF EMAIL ATTACHMENT TO
 
CBORMANN@DSLEXTREME.COM
 
OR PRINT OUT ORDER FORM AND MAIL TO: PO BOX 9178, CEDARPINES PARK, CA 92322

So. California office 909-338-3533
E-mail: CBORMANN@DSLEXTREME.COM
©2019-2021 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. **