ORDERING THE ICE WAND BY CREDIT CARD

VERIFY INFORMATION BELOW:
Input Fields in Red below are required entries!

Card Holder First Name:
Card Holder Last Name:
Phone:
Email Address:
Auto Ship Replacement:	Yes: No:
IceoMatrix offers a 100% money back guarantee for customers on the auto replacement program if you are not satisfied with the results of the ice wand. The "Auto Ship Replacement" item above allows you to receive replacement "Ice Wands" on regular 90 day intervals (recommended). Your credit card will be automatically billed when shipment is performed. If you do not wish to receive replacements automatically, be sure to select "No" in the field above.
PRICING: The price of the ice wand is $49.95. Discounts are available for select franchises and Coca Cola national accounts. Discounts are automatically applied when you provide the information below.
Francise Affiliation:
Account # or Rep Name:
Special Promotions:
For your protection, your credit card information is being sent over a secured encrypted link. Credit Card: Amex   Diners Club   Discover   MC   Visa Number:        Card Code:        Expr. Date (mmyy):
The Card Code is a security code that is printed on the back of credit cards in reverse italics on the card's signature panel, or following either the full card number or the last four digits of the card number on the front of the card.
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SHIPPING INFORMATION:

Shipping and Handling: (prices are per shipping location)	Quantity Shipping & Handling 1 2 3 4 5 6 or more $4.00/unit $3.00/unit $2.33/unit $2.00/unit $1.80/unit $1.66/unit
Orders will ship within 2 days.

ORDER INFORMATION: The price of the ice wand is $49.95. Discounts are available for select franchises and Coca Cola national accounts. Discounts are automatically applied when you provide the information below.

Product	Unit Price	Total to be Billed to Credit Card
IceoMatrix Ice Wand™
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For orders being placed from outside the U.S, please contact us via our Contact page.

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