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O2-B
™
Portable Oxygen Bar & Accessories
Order Form
Oxygen Is
B
eautiful
™
CUSTOMER INFORMATION (please print)
Name
M.I.
Last Name
Complete Street Address
Apt. / Suite #
City
State
ZIP Code Daytime Phone Number
ORDER INFORMATION
Item #
Item
Quantity Regular Price Promo Code
Total
CTA-08
O2-B™ Portable Oxygen Bar
$ 699.00 each
_____________
$ ____________
HS-100
Headset (includes 12 filters, 2 mouthpiece covers)
$ 39.95 each
$ ____________
HO-100
Headset Hose (6.5 feet)
$ 14.95 each
$ ____________
MF-100
Mouthpiece Filters (12 pack)
$ 12.95 each
$ ____________
AF-100
Air Intake Filter
$ 12.95 each
$ ____________
MC-100
Mouthpiece Covers (2 pack)
$ 14.95 each
$ ____________
RF-100
Rear Cabinet Filter
$ 11.95 each
$ ____________
SF-100
Side Cabinet Filter
$ 11.95 each
$ ____________
CD-100
Set of Relaxation CDs (6)
$ 60.00 each set
$ 29.95 each set
$ ____________
OH-100
Aromatherapy (10 ML bottle) Bee Happy
$ 18.00 each
$ ____________
OC-100
Aromatherapy (10 ML bottle) Bee Calm
$ 18.00 each
$ ____________
SHIPPING & HANDLING
Shipping & Handling for the O2-B™ Portable Oxygen Bar is FREE in the Continental United States.
For all shipments of any product outside the Continental United States, call for shipping rates.
For all other items include $
4.95 S/H EACH
$_____________
PA Residents include 6% Sales Tax
$_____________
Please Make Check or Money Order payable to: O
2
Innovations
™
Total Amount Due
$___________
METHOD OF PAYMENT: DO NOT SEND CASH Allow 2-6 weeks for delivery
Check Money Order VISA Mastercard American Express Discover
Credit Card #: ______________________________________________________________________
CVM#:________
_______
Exp. Date: _____________
Card Holder’s Signature: ______________________________________________Name as it appears on card: ______________________________________________
(Please Print)
NOTE:
No delivery to P.O. Boxes
or APO addresses.
Fax order to: 570-655-7710
or
Place order form and payment in envelope and send to: O
2
Innovations
™
600 Luzerne Avenue, West Pittston, PA 18643.
You may also order at
www.o2-b.com
or by calling
866-432-0202
. Credit card orders only please.
Prices subject to change without notice.
(This is the 3 or 4 digit code on the front
or back or your credit card)
8/
20
05
CUT
✁
✁
✁
14
Order Form
REMEMBER
to order extra filters to keep
your O2-B™ Portable Oxygen Bar in top
condition for many years of happy, healthy
breathing! Try a different aromatherapy essential oil
and order an O2-B™ Portable Oxygen Bar for a friend!
CD-100 Set of Relaxation CDs (6)
OH-100 Aromatherapy
(10 ML bottle)
Bee Happy
OC-100 Aromatherapy
(10 ML bottle)
Bee Calm
MF-100 Mouthpiece Filters
(12 pack)
HS-100 Headset
CTA-08
O2-B
™
Portable Oxygen Bar
MC-100
Mouthpiece Covers
(2 pack)
RF-100
Rear Cabinet Filter
SF-100
Side Cabinet Filter
AF-100
Air Intake Filter
HO-100 Headset Hose