Schedule Appointment with Biointelligent Wellness

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First Name *

Last Name *

Phone *

Your E-Mail Address *

Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
Chicken Noodle Soup Mix		$32.00
Total: $32.00

TO COMPLETE YOUR ORDER, SELECT BOX TO THE LEFT TO ACKNOWLEDGE THE TERMS BELOW:

NOTE: PLEASE USE THE BACK BUTTON ON YOUR BROWSER TO ADD MORE ITEMS IF NO "CONTINUE SHOPPING" BUTTON APPEARS.

Please provide all the information above.
- In the notes section, please include your address and whether you would like your product shipped or prepared for pickup.
- After placing your order, we will send you the order total, including shipping and tax.
- Once we reach out, we will ask you to submit your payment authorization using this form: Payment Authorization Form
We will contact you as soon as we receive your order. Feel free to call or text us at 858-228-3644 or email info@biointelligentwellness.com

Notes:

Shipping: Orders over $200 eligible for $15 flat rate shipping within the US.
Melting Issues: During the summer some products may be affected by the high temperatures. As a result, you may receive melted products upon delivery. Ideal Protein is unable to control the temperature during shipping if you place your order on the weekends or Monday morning, it will reduce the chance of melting.
Sales Tax: Orders subject to sales tax (based on state and local regulations) will reflect the final total when you are contacted for payment. Please reach out to us if you have questions.

COVID-19 CLINIC CLOSURE CLIENTS: Please provide all information above. We will contact you as soon as we receive your order to obtain desired shipping speed and payment details. Weekly coaching is available if needed. All transfer dieters qualify for our New Virtual Dieter Special

VIRTUAL COACHING CLIENTS: Please provide all information above. We will contact you as soon as we receive your order.

Thank you!

The BioIntelligent Wellness Team
www.BioIntelligentWellness.com