Payment by check may cause 10 day delay -- money order is quicker
All Check & M.O.'s must be payable to  Bill Roulo  and mailed to:

ADVANCED BIO COMPANY                     "CLICK PRINT"
PO Box 813
Kuna ID 83634
(800) 211-1493  
advancedbio.com


Last Name__________________________________________ First_____________________________________

Street Address________________________________________________________________________________

City___________________________________ State_____ Zip_____________ Country___________________

Hm Ph (      )______________  Day Ph (      ) _____________  Fax (      ) ____________________

Email: ____________________________  How did you hear about us? ______________________________





Golden Minerals @ 15.95 per bottle                      (quantity) _______


CONTROL APS "Appetite Suppressant"  @ $39.50 per bottle (quantity) _______

(replaces "RESULTS")


CLENZ @ 30.50 per bottle                                (quantity) _______


Eassiac Herbal Tea DVD @ 20.00 (free s/h)               (quantity) _______




                                                             Subtotal $ _________________


                                                   Add $8.00 S/H Charge _________________

             
                                                                Total $ _________________

Choose Payment Option
[ ] Check (US Funds only)          [ ] Money Order (US Funds only)
[ ] MasterCard    [ ] Visa    [ ] American Express  


Card Number  _______________________________________________________   Exp ____/____
                     (Please double check the number)


Signature  _______________________________________________________  Date_______________


  Payment by check may cause 10 day delay -- money order is quicker

Rev 20080428