Order Form

Print this form, fill it out and mail with your check or money order.
Special Manufacturer’s Introductory Prices!
Power Factor 100AP (24" x 42" - All Purpose)                        $225.00
Power Factor 100PS   (15" x 24" - Pillow Size)                          $115.00
Power Factor 100SS     (8" x 36" - Strip Size)                             $90.00
Health Sleeve Power Factor 100 (8" x 10" - Patent Pending) $107.00
Nyvatex Book “How Nature's Healing Energy Works” *       $15.00

Qty	Power Factor #	Manuf. Special Introductory Price	Total
	100AP	$225.00
	100PS	$115.00
	100SS	$90.00
	Health Sleeve Power Factor 100	$107.00
	The Book	$15.00
Nyvatex’s Book: "How Nature’s Healing Energy Works" $ 15.00 No shipping charge for book if book is ordered with Health-Mat.		Shipping and Handling
		TOTAL

Be Absolutely Certain of your purchase decision. This is an item of personal use, therefore there can be no returns for refunds.

Book only shipping charge.........................................................$5.00
UPS Ground -- 1 Item .................................................................$12.00
UPS Two Day Air - 1 Item .........................................................$27.00
UPS Three Day Air - 1 Item .......................................................$19.00
UPS Next Day Air - 1 Item .........................................................$45.00
Other Countries Please Check with Nyvatex for shipping costs.
(Please add $4.00 for each additional Health-Mat, #2, #3, etc. )

How did you hear about us:
Your Name
Address
City
State		Zip Code
Date		Phone

NO CREDIT CARDS, CASH OR COD.

Send With Check or Money Order to:
Nyvatex
PO Box 1835
Billings, Montana 59103-1835

*No Medical advice in the book. Educational material only.
Be sure that you have added shipping and handling charges before you send your order.