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This month SPECIAL: Sign-up today and "WE PAY" Shipping & Handling !

Please fill out the following information below to complete your order.

VIP Member Information:       (1 minute shopping!)

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Put your First Name and Phone Number below
i.e. "John 310-320-2226"
(sign-up the first time)

Instruction: The next time, you like to shop with MiracleHealthInc.com
Just put your "VIP code" in the "VIP field" and you'll shop 100% secure,
without putting any personal information on the Internet.



Put Your Reorder Below/Comments/Special Instructions: (for delivery i.e.)


i.e. Reorder 3 PRO-LIVER for my special price of $ 85 each !
Use my info about the Credit Card, thanks John


Miracle Health Inc.
23908 Crenshaw Blvd. · Torrance · CA 90505


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