YOUR ORDERING FORM FOR THE
LARGE DISCOUNT PACK.

Please fill in the form below as accurate as possible. After you have finished, press the SEND button at the bottom of this form. Your order will be processed immediately.

Special offer: When you order 1 or more packages of Natural Push Up tablets, you'll receive a bottle of NPU Breast Firming Gel for just € 14,00 instead of € 36,50 !

If you want more information without ordering, please click here to send us an e-mail
Buy multiple packages of this product together with a girl friend.
  • Good for you
  • Good for your girlfriend
  • Exchange of experience
    is always profitable
Name
Address
ZIP Code
City + State/Province
Phone (Fax, if applicable)
Country
E-mail address
 
Number of
packages
for at least
2 months of
use (at 10
tablets a day)


(excl. shipping &
handling)		 Startpackage new customers: please click here
1 Package (at least two months of use): €
2 Packages (at least four months of use): € (Discount: 3%)
3 Packages (at least six months of use): € (Discount: 9%)
4 Packages (at least eight months of use): € (Discount: 10%)with girl-friend
5 Packages (at least ten months of use): € (Discount: 11%)ith girl-friend
6 Packages (at least twelve months of use): € (Discount: 12%)
with girl-friend
 
Extra offer:
1 bottle of NPU
Breast Firming Gel
for just € 14,00
 normal price:
€ 36,50 - in combination with your order just:

  €

 
Shipping cost Shipment to:

Shipping cost: €
 
Total amount due
Add the amount
of your order +
possible extra order of Breast Firming Gel

     
How to pay

You will have to inform us about the card details by phone or by fax (with your signature).

Fax no. +31 475 486349
Phone no. +31 475 411910



You will have to inform us about the card details by phone or by fax (with your signature).

Fax no. +31 475 486349
Phone no. +31 475 411910





(The last 3 digits of the
Card number printed ON THE BACK
of your card)

 Swift payment:

Transfer the amount due to account number 1309.11.313 of
Rabobank Echt, The Netherlands
Swiftcode: RABONL2U
mentioning:
The Natural Push Up Company

Delivery will follow as soon as we have received your payment.
     
ACCEPT your order by pressing the SEND button.
Dear Client,

New tariffs, that we are charged by various postal companies in Europe, and have to pass on to you as of 1 July 2007.

Your order will usually be delivered within 2-10 days after your payment has been received. If we cannot send you your order within a week after receipt of your payment, you will of course be informed on the status of your order. You will then receive an e-mail or phone call. You can also pay by credit card or banktransfer.

For shipping costs and speed of delivery and payment for orders outside the Netherlands (within Europe), we use the shipping costs stated below.

Belgium:
For orders of 2 packages, Euro 10,00 will be charged in shipping costs.
For 3 packages or more, no shipping costs will be charged.

England / Italy / Luxembourg / Austria:
For orders of 2 packages , Euro 13,50 will be charged in shipping costs.
For 3 packages or more, no shipping costs will be charged.

Spain / Sweden / Ireland:
For orders of 2 packages, Euro 17,00 will be charged in shipping costs.
For 3 packages or more, no shipping costs will be charged.

Switzerland / Norway:
For these countries Euro 32,00 will be charged in shipping costs (customs surcharge)

Countries outside of Europe:
For orders of 2 packages, Euro 22,45 will be charged in shipping costs.
For 3 packages or more, no shipping costs will be charged.

After your order has been received by us (by telephone or by e-mail) you will receive a message in which all bank details are stated, (in most cases) free of charge, for a bank transfer. For foreign orders the same applies; as soon as we have received your payment your order will be sent.
You leave page 3E