Quantity Prod. Code Description
Size Price
Total
CHEMIST
S
W
ILLNER
The Nutritional Supplement Professionals
Since
1911
Prescription
Pharmacy
Make check payable to “Willner Chemists”
Send to: Willner Chemists
100 Park Ave, New York NY 10017
Or call: 212 682 2817 or 1 800 633 1106
Fax: 212 682 6192
Ship To:
Method of Payment:
Name:
Check or Money Order is Enclosed
Address:
C.O.D. (Additional Charge Applies)
City:
Charge Card
Exp.Date:
State:
ZIP:
Card Number:
Phone (Day/Eve):
Signature:
Subtotal:
Shipping & Handling*
If C.O.D., Inquire for Rates
Total:
*
$5.95 to $7.95 (see chart for actual charge)
Please print clearly. We ship by U.P..S.; Do not give P.O. Box.
If U.S. Mail is requested, additional charge for handling & insurance
will be necessary. For shipment outside U.S.A., actual charges will be
assessed, after approval. Inquire first.
Your credit card will not be charged until merchandise is shipped.
Returns accepted only within 30 days of purchase; Items must be in
resellable condition; perishable items, refrigerated items and books
are not returnable.
plus, $1.00 surcharge if total less than $50.00
Autumn 2011 - Willner Chemists Reference Catalog
Page 2