We conveniently accept all forms of payment including checks, money orders, PayPal, etc. Personal checks normally take up to 2 weeks to clear. Send a cashier's check or money order for faster turn-around time. Make all payments payable to CleavageOnline.Com. You can also mail us your credit card information if you prefer not using it online...

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

CleavOnline.Com
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 + $8.95 S&H Quantity:
2 Bottles of Expand - 2 Month Supply $74.99 + $8.95 S&H Quantity:
3 Bottles of Expand - 3 Month Supply $99.99 + $8.95 S&H Quantity:
6 Bottles of Expand - 6 Month Supply $174.99 + $10.95 S&H Quantity:

Shipping Prices

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

   NON US Order

Standard S&H Fee Shown Above

$20 Extra for Non-USA S&H

Total Cost (USD)

Non US Orders: Add $20 for International S&H

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