ALWAYS YOUNG®
A NEW VISION OF AGING
www.AlwaysYoung.com

O R D E R F O R M

Billing Information		Shipping Address ( If different than Billing address )
Name		Name
Company		Company
Address		Address
City, State		City, State
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E-mail		t Include an e-mail address if you wish to receive a confirmation e-mail.

Everyday Discounts
Purchase Amount	Discount
$50.00 – $99.99	15.0%
$100.00 – $149.99	17.5%
$150.00 – $199.99	20.0%
$200.00 – $299.99	22.5%
$300.00 – $399.99	25.0%
$400.00 – $499.99	27.5%
$500.00 and above	30.0%
DPL™ Systems, Peptides and Shipping Costs are not Discounted


Discounts on Renewal and Nutritionals are based on the subtotal of your order. The subtotal for discount pricing includes the cost of DPL™ Systems and Peptides but these items are not discounted.






Shipping Waiver Signature is required for shipping outside the U.S.		u

Shipping for Renewal / Nutritionals
£ US • FedEx Ground	$5.95	No P.O. Boxes
£ US • Priority Mail	$7.95	No Tracking
£ US • FedEx 3-Day	$10.00	No P.O. Boxes
£ US • FedEx 2-Day	$14.00	No P.O. Boxes
£ US • FedEx 1-Day	$20.00	No P.O. Boxes
£ APO • APO / FPO	$4.95	Military Only
£ INTL • Air Mail	$12.00	No Tracking
£ INTL • FedEx	$36.00	No P.O. Boxes
Shipping for DPL™ Systems / Peptides
£ US • UPS Ground	FREE	No P.O. Boxes
£ US • Priority Mail	FREE	No Tracking
£ US • UPS 3-Day	$15.00	No P.O. Boxes
£ US • UPS 2-Day	$25.00	No P.O. Boxes
£ US • UPS 1-Day	$60.00	No P.O. Boxes
£ APO • APO / FPO	FREE	Military Only
£ INTL • Air Mail	$40.00	No Tracking
u INTL – International orders, please sign Waiver.
DPL™ Systems and Peptides are shipped separate from Renewal and Nutritionals
Signature:

Subtotal		$
Discount		$
Shipping		$
Total Order		$
Enter here if you have received a Promo Code
Promo Code

£	Check, Money Order or Cashiers Check is enclosed and made payable to: Always Young
£	Please charge my Credit Card: Visa, MasterCard, American Express, Discover
Card #:
Expires:			( Month / Year )
Signature:

International Shipping Waiver For shipping outside the United States
By asking us to ship to a country other than the United States, you are assuming all liability for any customs, duties, or tariffs. If customs seizes the shipment, we cannot refund your payment. The Waiver agreement on the Order Form must be signed for international shipping.

P R O D U C T L I S T
Item Code	Description	Each
GH-ADVC-001	RENEWAL® Advanced	$39.95
GH-MWKO-001	RENEWAL® Workout for Men	$39.95
GH-RPFW-001	RENEWAL® Power for Women	$39.95
GH-IGF1-001	RENEWAL® IGF-1	$39.95
GH-ORIG-001	RENEWAL® Original	$39.95
NT-ENZY-001	Food Enzymes	$23.95
NT-EFAS-001	Essential Fatty Acids	$11.95
The products below are not discounted, but their cost is included in the Subtotal for discounts on the products above.
LT-DPL1-001	DPL™ Light Therapy System – Gray/Black	$349.99
LT-DPL2-001	DPL™ Light Therapy System – Ivory/Sage	$349.99
LT-PTCS-001	Peptide Complex Serum	$65.00
LT-PTEY-001	Intensive Eye Therapy (Peptide)	$40.00
LT-PTS8-001	SNAP-8 GTM (Peptide)	$65.00