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10% OFF FOR THE FIRST THREE MONTHS!
No Code Needed
(10% discount requires customer to order for three 
consecutive months without cancelling auto-ship.)



MONTHLY AUTO-SHIP AUTHORAZATION FORM
In the box below please list the items and quantities you would like automatically shipped to you monthly.
Shipping Address
Billing Address
Card Type
Name on Card
Card Number
Expiration Date
Security Code
Please choose the date in which you would like your order to begin. Your order will continue to be shipped on this day each month. Date change request must be sent in writing in an email or online form.