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
(208) 922-5175  
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 @ 17.95 per bottle                      (quantity) _______

CONTROL APS "Appetite Suppressant" @ $41.50 per bottle (quantity) _______
(replaces "RESULTS")

CLENZ @ 34.50 per bottle                                (quantity) _______

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

                                                             Subtotal $ _________________

                                                   Add $0.00 S/H Charge ___FREE__________

                                                                              Total $ _________________

Choose Payment Option [ ] Check (US Funds only)          [ ] Money Order (US Funds only)

Signature _______________________________________________________ Date_______________

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

Rev 20081222