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Non-Resident Order Form
For AIM Nutritional Supplements And Products

The Non-Resident Order Form is for those wishing to order AIM nutritional supplements and products from outside of member countries.

Currently AIM International is established in Australia, Canada, New Zealand, South Africa, the United Kingdom, and the United States.

Even though you may not be a resident of one of those countries, you may still be able to purchase the AIM nutritional supplements of your choice. I must warn you that the shipping will probably be quite high - but the products really are that good! :-)

Here is a list of the products we recommend and their prices in US Dollars. If you are interested, please fill out the order form below and we will confirm the prices and shipping with you before processing your order if you request this.

Product	Wholesale Price
AIMega® 120 softgels	$23.00
BarleyLife® 10.5 oz. powder	$34.00
BarleyLife® 280 capsules	$36.00
BarleyLife® Xtra 10.5 oz.	$38.00
BarleyLife® Samples 6ct. singles	$5.00
BarleyLife® Xtra Samples 6ct. singles	$6.00
Bear Paw Garlic® 90 capsules	$16.00
CalciAIM™ 14.1 oz powder	$27.00
Cascara Sagrada 60 veg. caps.	$12.00
Cell Wellness Restorer™ 12 fl. oz. 4-pack	$20.00
Composure® 60 veg. caps.	$14.50
New! Fit 'n Fiber 19.5 oz. powder	$35.00
Florafood® 60 veg. caps.	$26.00
Frame Essentials® 120 veg. caps.	$22.00
Garden Trio® powder	$93.00
Garden Trio® (with BarleyLife Xtra	$96.00
GinkgoSense® 30 veg caps.	$19.00
GlucoChrom™ 60 veg. caps.	$16.00
Herbal Fiberblend® Unflavored 13 oz. powder	$32.00
Herbal Fiberblend® Raspberry 13 oz. powder	$32.00
Herbal Fiberblend® 280 veg. capsules	$35.00
Herbal Release® 120 veg. caps.	$16.00
HumiKleanse™ 30 veg. caps.	$19.00
Just Carrots® 14.1 oz. powder	$34.00
New! Leaf Greens™ 6.35 oz. powder	$39.00
New! Leaf Greens™ 120 veg. capsules	$31.00
Peak Endurance™ 10.6 oz. powder	$34.00
Para 90® 90 veg. caps.	$17.00
PrepZymes® 100 veg. caps.	$21.00
Prills™ 24 oz. in glass jar	$20.00
Proancynol 2000® 60 capsules	$26.00
ReAssureSP® 60 softgel capsules	$25.00
RediBeets® 8.8 oz. powder	$28.00
Renewed Balance® 2 oz. natural progesterone cream	$26.00
RevitaFem® 60 veg. caps.	$12.00

Please fill out the non-resident order form below to process your order.

Product Order Form
Please note that all fields followed by an asterisk must be filled in.
First Name* First Name*
Last Name* Last Name*
E-mail Address* E-mail Address*
Street Address* Street Address*
City* City*
State/Prov* State/Prov*
Zip/Postal Code* Zip/Postal Code*
Country* Country*
Home Phone* Home Phone*
Please list the products you would like and the quantity of each.
Credit Card Type (Visa/Mastercard only)* Credit Card Type (Visa/Mastercard only)*
Credit Card Number* Credit Card Number*
Expiration* Expiration*
* *
3 digit CVV (from back of card)* 3 digit CVV (from back of card)*
Please enter the word that you see below.

SHIPPING & HANDLING:
The shipping will be determined based on your country of residence and where the product needs to be shipped from. Our different offices ship to different countries. Please let us know if you would like us to determine the lowest product and shipping costs and allow you to confirm your order before we process any funds.

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