Products Price Quantity Total

Products		Price	Quantity	Total
	One month supply of Basic Protocol for Eyes Free Shipping and Handling to any address in the United States. Call us at 888-838-EYES to arrange shipping outside the United States.	$207.00	Update	$207.00
Subtotal			$207.00

One month supply of Basic Protocol for Eyes

Free Shipping and Handling to any address in the United States. Call us at 888-838-EYES to arrange shipping outside the United States.

$207.00

Update

$207.00

Subtotal $207.00

Billing Information
* First Name
* Last Name
Company Name
* Address - Line 1
Address - Line 2
* City
* State
* Zip Code
* Country
* Phone Number
* Email Address
Shipping is the same as billing

Billing Information

* First Name

* Last Name

Company Name

* Address - Line 1

Address - Line 2

* City

* State

* Zip Code

* Country

* Phone Number

* Email Address

Shipping is the same as billing

Shipping Information

* First Name

* Last Name

Company Name

* Address - Line 1

Address - Line 2

* City

State

* Zip Code

* Country

* Phone Number

Shipping Options
$3.95 Standard Shipping-3.95 $32.00 Ship by Order Total

Shipping Options

$3.95 Standard Shipping-3.95

$32.00 Ship by Order Total

Order Summary

Subtotal $207.00

Order total $207.00

Order Summary
Subtotal	$207.00
Order total	$207.00

Payment Information
Credit card
Credit Card Type	Credit Card Number	Expiration Date

Payment Information

Credit card

Credit Card Type

Credit Card Number

Expiration Date

Place Order