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Stayleaner.com Order Form

Mail Orders to: Discount Nutrition, LLC
7985 W. Sahara Ave. #101, Las Vegas, NV 89117
Fax Orders to: 1-702-558-6200

Name:_________________________________________________

Address:_______________________________________________

City:____________________State:_________________________

Zip Code:______________________________________________

Phone #:______________________________________________

Credit Card Number:_____________________________________ Expiration:_________

Email Address:__________________________________________

Item Description Quantity Price

________________________ ____________ $____________

________________________ ____________ $____________

________________________ ____________ $____________

________________________ ____________ $____________

________________________ ____________ $____________

________________________ ____________ $____________

________________________ ____________ $____________

________________________ ____________ $____________

________________________ ____________ $____________

________________________ ____________ $____________

Please add $6.00 shipping if
order is less than $75.00.
Shipping $____________

Total $_________

*Please also provide shipping address if different from billing address.

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*some items subject to a shipping surcharge per our shipping policy.

STAYLEANER.COM

Toll-Free Order Hotline # 1-888-889-9444 (or 1-702-368-2522)

You may e-mail questions to customer.service@stayleaner.com

No claims found on our web pages have been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease. No claim or opinion on these pages is intended to be, nor should be construed to be, medical advice. Please consult with a healthcare professional before starting any diet or exercise program. FME Inc. & Stayleaner.com are not responsible for product claims made by manufacturers on this web site. We are not responsible for typographical errors that may appear on this web site. Prices and information on these pages are subject to change without notice. Sales tax applied to taxable items if shipped to a NV address. Free Shipping is only in the continental U.S.