We conveniently accept all forms of payment including checks, money orders, etc. Personal checks normally take up to 2 weeks to clear. Send a cashier's check or a money order for faster turn-around time. Make all payments payable to CleavOnline.Com. You can also mail us your credit card information if you are worried about using it online as many people are.

Complete All Information, Print Form, Then Mail This Form To:

PO BOX 16764
Rochester, NY  14616

Shipping Information

First and Last Name:

Shipping Address:
Including complete 
street address, city, 
state and zip code.

Phone Number:

E-Mail Address:

Credit Card Information (If Paying By Credit/Debit Card)

Visa/MasterCard/Amex/Discover #:

Visa/MasterCard/Amex/Discover Expiration Date:

Product Description

1 Bottle of Expand - 1 Month Supply

   $39.99 + $9.95 S&H

2 Bottles of Expand - 2 Month Supply

   $74.99 + $9.95 S&H

3 Bottles of Expand - 3 Month Supply

   $99.99 + $9.95 S&H

4 Bottles of Expand - 4 Month Supply

   $129.99 + $9.95 S&H

5 Bottles of Expand - 5 Month Supply

   $159.99 + $9.95 S&H

6 Bottles of Expand - 6 Month Supply

   $174.99 + $9.95 S&H

Shipping Prices

   Upgrade to OverNight S&H $20 Extra (USA Only)

   NON US Order

Standard $9.95 S&H Fee Shown Above

$35 Extra for International S&H

Total Cost (USD)

Non US Orders: Add $35 For International S&H.
Overnight USA Orders: Add $20 to total cost.

Can't print this form? Write us a note or email your name/address here and we'll send one to you!

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