Order Form 
SEND TO: 
© World Without Cancer, Inc. 
9140 West Bay Harbor Dr., Unit 3 
Bay Harbor Island, FL 33154 
305-861-0685 / Fax 305-861-8962 
Toll Free 888-301-1336 
 
To place an order call toll free 1-888-301-1336.  Office hours are Monday - Friday 9:00am - 9:00pm (Eastern Standard Time), and Saturday 9:00am to 1:00pm.  For credit card and checks by Fax orders, print this form and fax it to 305-861-8962.  Or, mail this form with your check or money order made payable to World Without Cancer, Inc.


* Add $4.95 for shipping within the U.S.
* Free Shipping on orders over $400
* If paying by COD add $4.95 to total
* Additional Charge for international shipping
* Add $15.00 for overnight delivery.  Check if this is wanted_________
_____ # WWCB19  $19.00  "World Without Cancer" 368pg paperback 
_____ #WWCV19  $19.00  "World Without Cancer" Video 
_____ #SEED1050  $12.50  Apricot seeds (per pound) 
_____ #B1710026  $26.00  Vitamin B-17 100mg (100 tablets) 
_____ #B1750047  $47.00  Vitamin B-17 500mg (50 tablets 
_____ #B1750094  $94.00  Vitamin B-17 500mg (100 tablets) 
_____ #B17IV95  $95.00  Vitamin B-17 Injectable (10 ampoules - 30 grams) 
_____ #B17PH1696  $696.00  Phase I Metabolic Therapy (21 day supply) with Injectable Amygdalin (Not including syringes) - (see protocols for included products). 
_____ #B17PH1438  $438.00  Phase I Metabolic therapy (21 day supply) with Oral Amygdalin (see protocols for included products) 
_____ #B17P21200  $1,200.00  Phase II Metabolic Therapy (3 months supply) with Oral Amygdalin. (See protocols for included products) 
_____ #PRECA28  $28.00  Preven-Ca tabs 500mg (60 tablets) 
_____ #ZYME40  $40.00  Kenzyme tabs (pancreatic enzymes) 200 tablets 
_____ #CTAB25  $25.00  Ester-C tabs (Vitamin C) 500mg 200 tablets 
_____ #AEMUL38  $38.00  A+ Emulsion Drops 60ml. (Emulsified Vitamin-A 
_____ #GREEN49  $40.00  BARLEYGREEN Powder 
_____ #CART49  $49.00  Shark Cartilage Powder 250 grams 
_____ #CART68  $68.00  Shark Cartilage Caps. 650mg / 200 caps (Escuatrol caps) 
_____ #SYRG85  $0.85  Syringes & needles (only sold to individuals purchasing the injectable B17 - Sorry, syringes and needles not available in the U.S.) 

Billing Information:

Payment Information:

Paid by:Check:____ Check by Fax: ____ Credit Card:____ COD:____

(*Required For Credit Card Orders)

Credit Card*: (visa, mc, amx, disc, diners)

Cardholder Name*:________________________________

Card Number*:________________________________

Expiration Date*:________________________________


Or, Check by Fax, Complete this section

Name Of Bank*________________________________

Address Of Bank*________________________________

Address (cont.)________________________________

Check Number*________________________________

Full Transit Number*________________________________

(The Transit Number is the long group of numbers usually found on the lower left corner of your check. Once you have submitted this order, and the system has verified it, be sure to void and destroy your original check. It cannot be used.)


Shipping and Credit Information
Cardholder's/Account holder's Address*:

Name:*________________________________

Street1*:________________________________

Street2*:________________________________

City*:________________________________

State/Province*:________________________________

Zip Code*:________________________________

Country*:________________________________

Email Address:________________________________

Daytime Phone*:_______________ Extension: _________________

Nighttime Phone: ______________ Extension: ____________________

Fax:________________________________
 

We Wish You The Best Of Health and Thank You ! 

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