Mail/Fax Order Form

Please print this form for all mail-in orders.

Credit card orders can also fax to (949)429-3873

California residents must add 7.75% to total order. 

Mail to:	Accepted payments:
NJP Products	Money Order
27525 Puerta Real #100-505	Cashier's Check
Mission Viejo, Ca. 92691	Personal Checks
	Visa, Mastercard, Discover,              American Express
Credit Card Number:
Exp. Date:
Name (exactly as it appears on card):
Phone Number (REQUIRED)
Ship To:	Bill To: (if different from shipping address)
Quantity Product Price Each Total   1 - 32oz Pure Tahitian Noni Juice $29.95     6 - 32oz Pure Tahitian Noni Juice $150.00     1oz Growth Factor Premium $59.95     1oz Tamanu Oil $24.95     Special Pkg. - (2 bottles of Noni juice & 1 Tamanu oil) $67.95     Dr. Neil Solomon's Book $14.95     Tax (Ca. residents only) Add 7.75%   Total