Vasacor Fax or Mail Order Form


Fill out this form online, then click the Print button to
print it to your computer. You can then fax it to us at;

(503) 295-7359 

Allfields are required.

Order Date:   
Name:   
Address:   
City:   
State:   
Zip:   
Country:   
Phone:   
Email Address:   
 
Type of Card:   
Credit Card Number:   
Expiration Date:     

Vasacor Orders Dept.
818 SW 3rd Ave • Suite #220
Portland, OR 97204-2405


Your order will be processed on the next business day after receipt.
Thank You for your order!
The Vasacor Staff •
www.vasacor.com

 

 

These statements have not been evaluated by the Food and Drug Administration.
Vasacor Cholesterol Treatment Content Copyright © 2006-2017 Vasacor - Speedwinds Nutrition Inc.