Ejuva: Order Form

Please fill in the quantities in the appropriate fields below and then click the "Order" button. An Ejuva sales representative will contact you to arrange payment and delivery. If you are a health care provider or health product distributor, please call for appropriate pricing.


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	Bank wire transfer Mastercard/Visa/American Express/Discover Credit Card: Expiration Date:

Please select the quantity of each item you would like to order:
QTY	Description		Price
	Intestinal Cleansing Kit The Intestinal Cleansing Kit includes the following 8 items shown below: (Items can be ordered individually)		$325.00
	Power	350 tabl.	$90.00
	Balance	350 tabl.	$90.00
	Moflora	25 g.	$40.00
	Renew	250 tabl..	$70.00
	Combi	185 g.	$35.00
.	Combi - (Bonus included with Intestinal Cleansing Kit)	185 g.	BONUS
.	Vibram- (Bonus included with Intestinal Cleansing Kit)	60 ml.	BONUS
.	Manual	included

QTY	Description		Price
	Vibram	60 ml.	$45.00

QTY	Description		Price
	Candi Not Program The Candi Not Program includes the following 4 items shown below: (Items can be ordered individually)		$195.00
	Moflora	25 g.	$40.00
	Citrus Enhanced	40 gr.	$63.00
	Candi Go	30 ml.	$46.00
	Candi Mia	30 ml.	$46.00

QTY	Description		Price
	Para Nix Program The Para Nix Program includes the following 4 items shown below: (Items can be ordered individually)		$195.00
	Para Go	30 ml.	$46.00
	Para Mia	30 ml.	$46.00
	Moflora	25 g.	$40.00
	Citrus Enhanced	40 gr.	$63.00

QTY	Description	Price
	Nature's Wisdom - VHS Video Tape Approximately 60 minutes. A lecture by the formulator and founder of Ejuva, Steven Hurowitz, about the purity and benefits of the Ejuva clense.	FREE
	Cleansing with Herbs - Audio Tape A live lecture by Steven Hurowitz on the importance od cleansing with herbs to maintain optimum health.	$5.00
	Dear Health Seeker This free pamphlet lists the over 90 organic and wild crafted herbs used in the Ejuva cleanse. It contains pictures, testimonials and a price list.	FREE
	Dying to Cleanse - Book, 100 pages This 100 page book written by master herbal formulator Steven Hurowitz, details all the herbs used in the Ejuva Cleanse and the philosophy behind Ejuva. Also includes some raw food recipies.	$10.00