To order via snail mail: print this form and mail to: Tierra Mega-Nutrients Inc., 300 Carlsbad Village Dr., #108A-47, Carlsbad, CA 92008
To order via email: copy and paste this form and send in an e-mail mail to: gh3life@earthlink.net
Read our Ironclad Guarantee.

 __________________________________________________________________________________________
| Code | Description                | 1 Unit  | 3 Units | 6 Units | 12 Units | Qty | Total |
|______|____________________________|_________|_________|_________|__________|_____|_______|
| 100  | Original-Formula GH3       |  $24.95 |  $66.00 | $120.00 | $228.00  |     |       |
|      | (Enteric-coated) 60 tabs   |         |         |         |          |     |       |
|______|____________________________|_________|_________|_________|__________|_____|_______|
| 800  | GH3 Facial Milk - Daytime  |  $39.95 |  $99.00 | $180.00 | $360.00  |     |       |
|      | 1 oz. (6-8 wks supply)     |         |         |         |          |     |       |
|______|____________________________|_________|_________|_________|__________|_____|_______|
| 400  | DHEA 100 caps, 25 mg. ea.  |  $14.00 |  $42.00 |  $84.00 | $174.00  |     |       |
|      | Pure Pharmaceutical DHEA   |         |         |         |          |     |       |
|______|____________________________|_________|_________|_________|__________|_____|_______|
| 410  | DHEA 100 caps, 10 mg. ea.  |  $12.00 |  $36.00 |  $72.00 | $150.00  |     |       |
|      | micronized                 |         |         |         |          |     |       |
|______|____________________________|_________|_________|_________|__________|_____|_______|
| 450  | Pregnenolone 90 caps/10mg  |  $16.00 |  $48.00 |  $90.00 | $168.00  |     |       |
|______|____________________________|_________|_________|_________|__________|_____|_______|
| 450  | Pregnenolone 150 caps/30mg |  $39.95 | $119.85 | $228.00 | $432.00  |     |       |
|______|____________________________|_________|_________|_________|__________|_____|_______|
| 625  | 5-Hydroxy-L-Tryptophan     |  $19.95 |  $59.85 | $108.00 | $204.00  |     |       |
|      | 30 caps, 50 mg             |         |         |         |          |     |       |
|______|____________________________|_________|_________|_________|__________|_____|_______|
| 625  | 5-Hydroxy-L-Tryptophan     |  $69.50 | $209.85 | $384.00 | $720.00  |     |       |
|      | 120 caps, 50 mg            |         |         |         |          |     |       |
|______|____________________________|_________|_________|_________|__________|_____|_______|
| 475  | TMG - 15   500mg/120tabs   |  $16.00 |  $48.00 |  $90.00 | $168.00  |     |       |
|______|____________________________|_________|_________|_________|__________|_____|_______|
                                                                        |          |       |
                                                                        | Subtotal |       | 
                                                                        |__________|_______|
                                                                        |          |       |
                                                                        | Shipping*|   $8  |
                                                                        |__________|_______|
                                                                        |          |       |
                                                                        | Total**  |       |
                                                                        |__________|_______|
Credit Card Information (optional for snail mail orders)

Master Card __________________________________________  Expiration _________

       VISA __________________________________________  Expiration _________


  Full Name __________________________________________

    Address __________________________________________

       City __________________ State____ Zip _________

    Country __________________________________________

**Sales tax will be added to all orders received from New Mexico.
*PLEASE ALLOW 14 DAYS for your order to be processed and shipped. Although most orders are shipped within 3-5 days of being received, there are occasional computer slowdowns in credit card processing, or shortages of product from the manufacturer, that add days to the speedy handling of your order. Please do not call or write us until at least 14 days has gone by. We do try to confirm the receipt of most orders by phone or email within 48 hours.