Arctic Spray : Order Form

Fill out our Printable Order Form below and then click on the "Generate Order Form" button at the bottom of the page. This will create an order form that you can print out and send in with your Check or Money Order. You may also fax the form to (434) 846-2339.

Enter your customer information in the spaces below. This information will not be sold or distributed to 3rd party vendors and is only for internal usage in processing your order.

Full Name

Street Address

City

State

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If you need to ship to a different address, enter it here. If no address is listed here, we will ship to the address listed above.

Full Name

Street Address

City

State

Zipcode

Daytime Phone

Enter the quantities you are interested in purchasing in the boxes to the right.

Arctic Spray, 8oz bottle

Large size bottle of Arctic Spray Liquid Ice. Conditions where Arctic Spray has proven effective include Bursitis, Tendentious, Sciatica, Lumbago, Neuritis, Neuralgia, Rheumatism, Menstrual Leg Cramps, Stiff Neck, Stiff Back, Pulled Ligaments, Sore Muscles, Gout, Sore Feet.

$18.70 ea.

Quantity

Arctic spray liquid ice, 4oz bottle

Small size bottle of Arctic Spray Liquid Ice. Conditions where Arctic Spray has proven effective include Bursitis, Tendentious, Sciatica, Lumbago, Neuritis, Neuralgia, Rheumatism, Menstrual Leg Cramps, Stiff Neck, Stiff Back, Pulled Ligaments, Sore Muscles, Gout, Sore Feet.

$11.75 ea.

Quantity

Check

Money Order

All shipping costs are included in the price of the product. There will be no additional shipping costs added to your order. All orders are sent via First Class USPS.

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