Pherazone Printable Order Form

To place an order by Mail, fill it out this form online, then click the "Calculate Your Totals and Print" button at the bottom of the page, and either mail or fax it to us. If you don't have a printer, click here.

Step 1: Enter your order information
Please fill out the form below by adding the quantities you want for each product. Don't forget to choose the correct shipping option
Products for MEN
Unit Price (in US Dollars)
Quantity
2 bottles of Mens Pherazone Scented Plus FREE bottle

$197.00
2 bottles of Mens Pherazone Unscented Plus FREE bottle
$197.00
2 bottles of Mens Pherazone Super Concentrated Scented Plus FREE bottle

$297.00
2 bottles of Mens Pherazone Super Concentrated Unscented Plus FREE bottle
$297.00
1 bottle of Mens Pherazone Scented
$89.95
1 bottle of Mens Pherazone Unscented

$89.95
1 bottle of Mens Super Concentratd Pherazone Scented
$159.95
1 bottle of Mens Super Concentrated Pherazone Unscented $159.95
5 bottles of Mens Pherazone Scented Plus 2 FREE bottles

$494.95
5 bottles of Mens Pherazone Unscented Plus 2 FREE bottles

$494.95
Products for WOMEN
Unit Price (in US Dollars)
Quantity
2 bottles of Womens Pherazone Scented Plus FREE bottle

$197.00
2 bottles of Womens Pherazone Unscented Plus FREE bottle
$197.00
2 bottles of Womens Super Concentrated Pherazone Scented Plus FREE bottle

$297.00
2 bottles of Womens Super Concentrated Pherazone Unscented Plus FREE bottle
$297.00
1 bottle of Womens Pherazone Scented
$89.95
1 bottle of Womens Pherazone Unscented

$89.95
1 bottle of Womens Super Concentrated Pherazone Scented $159.95
1 bottle of Womens Super Concentrated Pherazone Unscented $159.95
5 bottles of Womens Pherazone Scented Plus 2 FREE bottles

$494.95
5 bottles of Womens Pherazone Unscented Plus 2 FREE bottles

$494.95
Shipping & Handling

Within the U.S.
Parcel Post (USPS) 5-7 days: Add $9.99
Express Shipping (USPS) Overnight: Add $31.99
$500 order - (USPS) 7-10 days: Add $14.95
$500 order - Express Shipping (USPS) Overnight: Add $42.95

International Orders
First Class Mail International: Add $ 24.95

We can ship your order anywhere in the U.S. as well as internationally.

Name
Address
City / Town
State
   (for US orders only)
ZIP / Postcode
Country
Phone
E-Mail


Step 3: Select payment method
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Please choose either payment option 1 or 2 and follow the instructions below.

OPTION 1: Money Order / Check by Mail
If you are placing your order by MAIL and are paying by money order or check, send this form along with your payment payable to Pherazone to the following address:

Pherazone - AAD
3940 Laurel Cyn Blvd, Ste 373

Studio City, CA  91604


Orders paid by personal check will be held until check clears.

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OPTION 2: Credit Card by FAX
If you are placing your order by FAX and are paying by credit card, enter your credit card information below, click the print button and fax this form to our toll-free number (818)-479-9307.

Name on Card
Card Type
Card Number
Exp. Date
Card Verification Code (CVV2)

If the credit card billing address is different than the shipping address provided above, provide the billing address here:

Address
City
State
Zip
Country
Phone
E-Mail





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