RichWay International - Innovations for a healthier life

SECURE ordering form.

Odilia Forlenza
phone: 828-707-3530 email: Oforlenza@yahoo.com

Purchaser Billing Address: Ship To:
Name: Name:
Company Name: Company Name:
Street Address: Street Address:
City: City:
State: State:
Zip Code: Zip Code:
Email:
Phone:

Credit Card Information:
Name On Credit Card:
Credit Card Number:
Credit Card Type:
CCV Code:
Exp. Date (MMYY):
Special Instructions:

Select Products:

Click the select box to order ; and enter quantity for each.

 

CATAGORY

 Select

 Quantity   

DESCRIPTION

ITEM NO.

SIZE

UNIT PRICE

S & H

 aMETHYST BioMats

AMETHYST
BIO-MAT

101A

SINGLE/TWIN

$2,600.00

$100.00

 

AMETHYST
BIO-MAT

102A

QUEEN

$3,500.00

$130.00

 

AMETHYST
BIO-MAT

103A

KING

$4,000.00

$160.00

AMETHYST
BIOMAT
SPECIFICALLY DESIGNED
FOR MASSAGE TABLES

BIO-MAT PROFESSIONAL
FOR PRACTITIONERS (BMP)


1101

ONE SIZE

$1,695.00

$60.00

 BIO-MAT MINI

BIO-MAT MINI

201

ONE SIZE

$670.00

$40.00

BIOMAT Accessories AND REPLACEMENT PARTS

CONTROLLER

1011

SINGLE, PRO

$250.00

$20.00

CONTROLLER

1021

QUEEN, KING

$350.00

$20.00

 









MATRESS PAD COVER

101P

MINI MAT
SINGLE
QUEEN
KING
PROFESSIONAL

$60.00
$100.00
$120.00
$150.00
$100.00

$20.00
$20.00
$30.00
$30.00
$20.00

 


AMETHYST & TOURMALINE MEMORY FOAM PILLOW


301A


ONE SIZE


$350.00


1-$30.00
2-$40.00
3-$50.00

 

BIO-MAT PROFESSIONAL TRAVELING BAG

1101B

ONE SIZE

$245.00

$60.00

Alkal-life WATER System

ALKAL-LIFE 7000SL

507

ONE SIZE

$2,000.00

$40.00

 

ALKAL-LIFE 7000SL
REPLACEMENT WATER FILTER

5017

 

$120.00

$15.00 

 FACIAL
&
BODY CARE

VITAMIN C SERUM

8011

1 Bottle

$100.00

$10.00

SALES

LIFETIME MEMBERSHIP

001

REGISTRATION

$80.00

$0.00

Optional
I hereby request to waive the UPS required signature for confirmed delivery and take full responsibility.

Required
I hereby certify that I have read and agree to the terms and conditions of RichWay’s refund policy, and that I take full responsibility for any errors in the completion of this form.
I have full authority and hereby authorize Fuji-Bio Science/Richway International to process this purchase order with the creditcard information provided.

We appreciate your business!