• INSTRUCTIONS:
  Print-out the following order form, fill it out and FAX it to 512-267-4448 or mail it, along with a check, money order or your credit card information to:

AUSTIN NUTRITIONAL RESEARCH

PO BOX 203610

AUSTIN TEXAS 78720-3610

• International Orders by Credit Card or International Money Order payable at a USA Bank Only.
• FAX ORDERS to: 512-267-4448

• FORMULA --- ____30 Day Supply @ $17.95------($0.60 a Day)----$________
  LEVEL -------- ____90 Day Supply @ $45.95------($0.51 a Day)----$________
  ONE------------- ____180 Day Supply @ $79.95---($0.45 a Day)----$________
• FORMULA --- ____30 Day Supply @ $25.95------($0.87 a Day)----$________
  LEVEL -------- ____90 Day Supply @ $65.95------($0.73 a Day)----$________
  TWO ---------- ____180 Day Supply @ $109.95-----($0.61 a Day)----$________
• FORMULA --- ____30 Day Supply @ $29.95------($0.99 a Day)----$________
  LEVEL -------- ____90 Day Supply @ $79.95------($0.89 a Day)----$________
  THREE ------- ____180 Day Supply @ $129.95----($0.72 a Day)----$________
• FORMULA --- ____30 Day Supply @ $42.95------($1.43 a Day)----$________
  LEVEL -------- ____90 Day Supply @ $109.95------($1.22 a Day)----$________
  FOUR --------- ____180 Day Supply @ $185.95---($1.03 a Day)----$________
• FORMULA --- ____30 Day Supply @ $46.95------($1.56 a Day)----$________
  LEVEL -------- ____90 Day Supply @ $124.95------($1.38 a Day)----$________
  FIVE ----------- ____180 Day Supply @ $205.95---($1.14 a Day)----$________
• FORMULA --- ____30 Day Supply @ $54.95------($1.83 a Day)----$________
  LEVEL -------- ____90 Day Supply @ $144.95----($1.61 a Day)----$________
  SIX ------------- ____180 Day Supply @ $238.95--($1.33 a Day)----$________
• FORMULA --- ____30 Day Supply @ $69.95------($2.33 a Day)----$________
  LEVEL -------- ____90 Day Supply @ $189.95-----($2.11 a Day)----$________
  SEVEN ------- ____180 Day Supply @ 315.95-----($1.75 a Day)----$________
• ANR ------------- ____30 Packets @ $45.95------($1.53 each)---------$________
  FORMULA --- ____90 Packets @ $115.95-----($1.28 each)---------$________
  HEART ------ ____180 Packets @ 189.95-----($1.06 each)---------$________
• ANR ------------- ____30 Packets @ $39.95------($1.53 each)---------$________
  FORMULA --- ____90 Packets @ $105.95-----($1.18 each)---------$________
  ALERT! ------ ____180 Packets @ 175.95-----($0.98 each)---------$________
• ANR ------------- ____30 Packets @ $49.95------($1.66 each)---------$________
  FORMULA --- ____90 Packets @ $119.95-----($1.33 each)---------$________
  MAXIMUS  ____180 Packets @ 195.95-----($1.09 each)---------$________

• USA Priority Mail SHIPPING AND HANDLING-$4.95
  (FREE IF ORDER OVER $50.00!)---------------------------------------$_________
• CANADA Air Mail SHIPPING AND HANDLING-$9.95
  (ANY SIZE Individual Order!)----------------------------------------------$_________
• INTERNATIONAL Surface Delivery
  10% of Order Total (Minimum $9.95) -----------------------------------$_________
• INTERNATIONAL AIR Mail Delivery
  25% of Order Total (Minimum $29.95) ----------------------------------$_________
• ORDER TOTAL----------------------------------------$________

Charge to

VISA-MASTERCARD-NOVUS/DISCOVER

• If you would like to charge your order to MASTERCARD, VISA, DISCOVER or AMERICAN EXPRESS you may FAX your order directly to ANR at (512) 267-4448 for fastest service!
• card number__________________________________________exp date___/__
• name on card_____________________________phone number_____________
• signature_________________________________________________________

SHIP TO:

• Name:_______________________________________________
• Address:__________________________________Apt.:_______
• City:____________________State or Province:______________
• Country:____________________Postal or Zip Code:_________
• e-mail address:________________________________________
• Phone Number:________________________________________

AUSTIN NUTRITIONAL RESEARCH
4815 West Braker Ln.; Building 502, Suite 180
Austin , Texas 78759-5664 USA
VOICE: (512) 267-7644
FAX: (512) 267-4448
email: <longlife@bga.com>
WorldWideWeb: http://www.realtime.net/anr
May yee be healthy and live long...;

THANKS FOR VISITING and HAVE A HEALTHY AND HAPPY DAY!