Anagen - Proguard - Protected Order Form

PRODUCT		AMOUNT

Proguard 60x3 tablets of 500mg $CAD 89
Proguard 60x6 tablets of 500mg $CAD 168
Proguard 60x12 tablets of 500mg $CAD 300

Proguard Activator 1 OZ $CAD 14

Proguard Shampoo 8 OZ/237ml $CAD 15

Proguard Diabetic 180 capsules per bottle (1 month) $CAD 36

SHIPPING WORLDWIDE 8 canadian dollars

SHIPPING DATA (* required field)

Please enter the data correctly

First and Last Name *

E-Mail Address *

Street and Number *

City *

State / Province *

Postal Code / ZIP *

Country *

Telephone Number *

Comments or additional information for the delivery

CREDIT CARD INFORMATION (required fields)


Other Credit Card
Card Holder's Name
Credit Card Number	Please carefully enter the 15 or 16 digit credit card
Expiration Date	Month Year Credit Card does not expire
Security Code (CVV or Card Id) (on the back of your credit card is 3 digits or 4 digits if American Express) Where is my Card Id ?	Please enter the correct security code
Card Holder Address (if different from shipping data)

Please click Send Order once only and wait for the response page.