Please copy and paste this form into a word document and print out to FAX Your Order

              Order Form

Page 1 of 2

Please Fill Out Your Information Below.

Always Use Distributor # A223066

To Receive Better Service and accountability.

US Pricing                                                                                                                             Specials

New Item #         Description                               Quantity      Unit Price         Amount

A90000D        -  New Distributor Membership      ____            $  24.95           _______

SS001C2       -  Chi Machine                                    ____            $480.00          _______

SY010A2       -  HotHouse-                                       ____            $899.00           _______

SR001A2       -  Electro-Reflex-Energizer              ____            $399.00           _______

                                                                                    Subtotal                             _______

                                                                                    Freight                               _______

                                                                                    Sales Tax                           _______

                                                                                       Total                                _______

Canada Pricing                                                                                                                      Specials

New Item #         Description                               Quantity      Unit Price         Amount

A90000D        -  New Distributor Membership      ____            $  35.00           _______

SS001C2       -  Chi Machine - 2 year warranty      ____            $720.00           _______        CAN $625.00 + FREE Carry Bag
                                                                                                                                                    + Freight included. 2 year warranty

SY010A2       -  HotHouse-                                       ____           $1349.00           _______       CAN $999.00 + FREE Carry Bag
                                                                                                                                                    + Freight included. 1 year warranty.
SR001A2       -  Electro-Reflex-Energizer              ____            $599.00           _______

                                                                                    Subtotal                             _______

                                                                                    Freight                               _______

                                                                                    Sales Tax                           _______

                                                                                       Total                                _______

Complete your following information and Fax or Call us to Receive

Prompt Confirmation of Your Order.

Our Fax: 864-654-0804 or Phone: 864-624-9979

General Information

Name:                         ______________________________________

Business Phone:      ______________________________________

Home Phone:            ______________________________________

Email:                          _____________________________________

Ship To:

Home Address:         ______________________________________

Shipping Address     ______________________________________

City:                            ______________________________________

State, Zip                   ______________________________________

Country:                     ______________________________________

 Do Not Use Post Office Boxes For Your Shipping Address.

Always Use Distributor # A223066 to Receive Better Service and accountability. 

Credit Card Payment Information:

Page 2 of 2 - Use the same address here, that you receive your CC statement.

__ MasterCard          __ Visa            __ AMEX         __ Discover

Credit Card #             ______ -______ -______- ______

Security Code (ccv2) _______

CC Expiration Date:  ___________________________

Your Signature:         ______________________________________

Home Phone:             ______________________________________

Email:                           _____________________________________

Home Address:          ______________________________________

City, State, Zip            ______________________________________

Country:                     ______________________________________

Always Use Distributor # A223066 to Receive Better Service and accountability.

Be assured your information will not be given to others.

Questions: Call Joel Newton, 864-624-9979 or Fax: 864-654-0804

Please Use Distributor #: A223066 on all communications.

Credit Card Information 

We do not store or retain your credit card information, including but not limited to your credit card number,

expiration date, or CVV2 code. 

We use personal information for purposes of administering our business, providing products and services you

request, to process your payment, to monitor the use of the service, our marketing and promotional efforts

and improve our content and service offerings, customize our site's content, layout, services and for other

lawful purposes. These uses improve our site and better tailor it to meet your needs.

Information may be shared with others on an aggregate basis only. Personally identifiable information or

business information will not be shared with parties except as required by law.

We may also use the information we collect to notify you about important changes to our Website, new services,

or special offers we feel you will find valuable.

Notify us at any time if you do not wish to receive these offers by emailing us at: jnewtn@bellsouth.net

with your Name, phone, and email address with please remove us from your database. 

Joel Newton, HTE Distributor ID: A223066  -  Go Back To The Site!