Secure ordering

Please order from our secure on-line form - if you are hesitant to put your payment information online, we can take your order over the phone or you can choose to have us contact you to obtain payment information. If you prefer to phone your order in, please contact us here.

Step 2 - choose your items	Unit Price*	Quantity Ordered
COMPLETE EID SYSTEM (EID Kit, 1 pair Confidence Rings, Carrying Case, H&R Lubricant, 1-year warranty)	$339.00
BACK-UP EID	$218.00
CONFIDENCE RINGS
Pink (2 per set)	$59.99
Natural (2 per set)	$59.99
1 pink/1 natural (2 per set)	$59.99
Latex (2 per set)	$59.99
LUBRICANT
Tube	$6.00
Case of 12	$40.00
GMB PROTOCOL (Glucosamine)
600 grams	$45.00
SHIPPING	$6.00	1

*All prices in US dollars

Step 3 - please fill out the payment & shipping information
Shipping information - please ship my order to:
Name:
Address:
City:
State:
Zip code:
Primary phone #:
E-mail address:

Payment information - I wish to pay for my order via: (please choose one)
Credit Card:	Credit Card Type:
	CC number: Expiry: month year
Cheque or Money order: (note: order will not be shipped until payment is received)
Please have someone contact me to obtain my payment information

Is everything correct?

Step 4 - check the above information for accuracy and submit your order by clicking on the button below