To order simply fill in the blanks and the totals will be added up for you. Then simply click the SUBMIT button to submit your order directly to us. To order by FAX, just fill in the blanks and then print the form and FAX it to 765-364-0367. Or you can mail this form with your check or money order made payable to RCS & Cancer Gone to the address listed above.
* Add $4.95
for shipping within the U.S. * Free Shipping
on orders over $400 * Additional
Charge for international shipping * Add $15.00
for overnight delivery.