<html>  <head> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <meta name="GENERATOR" content="Microsoft FrontPage Express 2.0"> <title>To Order H2O2Go or Mission Filter:</title> </head> <body bgcolor="#FFFFFF"><script> (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){ (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o), m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m) })(window,document,'script','//www.google-analytics.com/analytics.js','ga'); ga('create', 'UA-47423994-1', 'fortunecity.ws'); ga('send', 'pageview'); </script> <center> <br> <div> <script language="javascript" type="text/javascript" src="http://ad.broadcaststation.net/ads/show_ad.php?width=728&height=90"></script> </div> </center> <center> <br> <div style="height:5px"></div> </center> <div align="center"><center> <table border="1" cellpadding="0" cellspacing="1" width="95%"> <tr> <td width="100%"><p align="center"><font size="6" face="Gill Sans">To Order H</font><font size="5" face="Gill Sans">2</font><font size="6" face="Gill Sans">O 2 Go or Mission Filter, </font></p> <p align="center"><font size="5" face="Gill Sans">Print This Order Form and Mail To The Address Below</font></p> </td> </tr> </table> </center></div><div align="center"><center> <table border="1" cellpadding="0" cellspacing="0" width="95%"> <tr> <td colspan="7"><p align="center"><font size="4" face="Gill Sans"><strong>H</strong></font><font size="3" face="Gill Sans"><strong>2</strong></font><font size="4" face="Gill Sans"><strong>O 2 Go 24 Oz. Sport Bottle & Replacement Filters </strong></font> </p> </td> </tr> <tr> <td align="center"><strong>Check One or More</strong></td> <td align="center"><strong>Item & Quantity</strong></td> <td align="center"><strong>Price Each</strong></td> <td align="center"><strong>Shipping</strong></td> <td align="center"><strong>Total</strong></td> <td align="center"><strong>*Florida Residents Add 6% Sales Tax</strong></td> <td align="center"><strong>*Florida Residents Total</strong></td> </tr> <tr> <td> </td> <td align="center">One (1) H2O 2 Go Sport Bottle</td> <td align="center">$29.95</td> <td align="center">$4.50</td> <td align="center">$34.45</td> <td align="center">$1.80</td> <td align="center">$36.25</td> </tr> <tr> <td> </td> <td align="center">SAVE Two (2) H2O 2 Go Sport Bottle</td> <td align="center">$54.95</td> <td align="center">$5.50</td> <td align="center">$60.45</td> <td align="center">$3.63</td> <td align="center">$64.08</td> </tr> <tr> <td> </td> <td align="center">SAVE MORE Each Additional H2O 2 Go Sport Bottle when ordered now</td> <td align="center">$26.95ea</td> <td align="center">$1.00ea</td> <td align="center"> </td> <td align="center">Add 6% on Bottle Total </td> <td align="center"> </td> </tr> <tr> <td align="center" colspan="7"><font size="4"><strong>Mission Filter System & Replacement Filters</strong></font></td> </tr> <tr> <td align="center"> </td> <td align="center">One (1) Mission Filter System</td> <td align="center">$49.95</td> <td align="center">$7.75</td> <td align="center">$57.70</td> <td align="center">$3.00</td> <td align="center">$60.70</td> </tr> <tr> <td align="center"> </td> <td align="center">SAVE - Each Additional Mission Filter System</td> <td align="center">$45.95</td> <td align="center">$7.00</td> <td align="center"> </td> <td align="center">Add 6% to Unit Total</td> <td align="center"> </td> </tr> <tr> <td align="center"> </td> <td align="center">Replacement Filters for Mission Filter System</td> <td align="center">$17.95</td> <td align="center">Free when ordering a Mission Filter System $5.50 if ordered alone</td> <td align="center"> </td> <td align="center">Add 6% each filter</td> <td width="100%"> </td> </tr> </table> </center></div> <p><strong>Check the Appropriate boxes above and send payment to: Eddy G. Mellette P.O. Box 250016 Holly Hill, Fl 32125-0016 -- Cashiers Checks and Money Orders will ship within 48 hours of receipt. Personal Checks are subject to 10 day hold for bank approval. **Please contact us with any questions or comments. Email: </strong><a href="mailto:Egm358@aol.com"><strong>Egm358@aol.com</strong></a></p> <div align="center"><center> <table border="3" cellpadding="3" width="95%"> <tr> <td align="center" width="50%"><a href="mailto:Egm358@aol.com"><font size="7" face="Gill Sans"><strong>EMail Us</strong></font></a></td> <td align="center" width="50%"><a href="index.htm"><font size="7" face="Gill Sans"><strong>Home</strong></font></a></td> </tr> </table> </center></div> <p align="center"><a href="http://leader.linkexchange.com/1/X1039676/clickle" target="_top"><img src="http://leader.linkexchange.com/1/X1039676/showle?" border="0" width="468" height="60" ismap>