Click here to print the order form | Return to ZENMED.COM
ZENMED   Fax & Mail Order Form
shopzenmed.com | info@zenmed.com | Toll Free: 1.877.647.4242 | Fax: 1.250.382.7247
Billing Information   Shipping Information (if different)
Name: Name:
Address: Address:
   
City: City:
State/Province: State/Province:
Country: Country:
ZIP/Postal Code: ZIP/Postal Code:
Phone:  
Email:  
Email address is required for order confirmation and order tracking. We do not sell email addresses.
Payment Options
    Amex     Mastercard     Visa     Check     Money Order
International Money Orders only. Payable to ‘Raging Creations Ltd.’
Credit Card Details
Card Number:
                               
Expiry Date:
       
I authorize ZENMED®/ Raging Creations Ltd. to debit my card for the value of my order.
Signature   Date
 
Online
Order online at www.shopzenmed.com.
     Email: info@zenmed.com
By Mail
Complete this order form and mail it with your payment enclosed to:
     c/o Customer Service
     2516 Bridge St
     Victoria, BC Canada
     V8T 5H3
By Fax
Fax your completed order form to:
     Fax: 1.250.382.7247
By Phone
Call one of our friendly customer service representatives 24 hours a day 7 days a week if you have any questions or concerns, or if you would like to place an order.
     Phone: 1.250.382.7243
     Toll Free: 1.877.647.4242
     Freephone: 0.800.8830451
Returns and Exchanges
If for any reason you are unhappy with your products, contact us within 60 days of purchase for return instructions.

Buy 3 Get 1 FREE!
Purchase 3 bottles of any one product and receive a 4th bottle at no extra charge. Just enter a quantity of 3 on the order form and your free 4th bottle will automatically be added when your order is processed. Products marked with a ‘ * ’ are excluded from the “Buy 3 Get 1 FREE” promotion.
† The price for 2 Derma Cleanse® Systems is $175.85 and 4 Derma Cleanse® Systems is $299.85.
Acne Price QTY Total
Facial Cleansing Gel 6 fl oz/180 ml $15.00    
Derma Cleanse® Acne Gel 2 fl oz/60 ml $24.99    
Derma Cleanse® Capsules 90 Capsules $29.99    
AHA/BHA Complex 2.7 fl oz/80 ml $19.95    
Derma Cleanse® System * † $99.95    

Body Acne
Botanical Acne Mask 4 fl oz/120 ml * $24.95    
Botanical Acne Body Wash 8 fl oz/236.6 ml * $24.95    
Body Acne Combo * $39.95    

Skin Care
H-Series Moisturizer 2 fl oz/60 ml $24.95    
Oil Free Moisturizer 1 fl oz/30 ml $175.85    
Oil Free Moisturizer with SPF 30 1 fl oz/30 ml $24.95    
Renewing Serum 0.5 fl oz/15 ml $24.95    
Three Step Skin Care System $54.99    
Sebum Regulating Moisturizer 4 fl oz/120 ml $24.95    

Scars
Skin Eraser 1 fl oz/30 ml * $29.99    
Renewing MicroDermabrasion fl oz/120 ml * $39.99    
Scar Treatment Kit * $59.99    

Eczema Dermatitis
DermCare 2 fl oz/60 ml $24.95    
DermCare Cleanser 6 fl oz/180 ml $24.95    
DermCare Lotion 4 fl oz/120 ml $29.95    
DermCare System $44.95    
 
Rosacea Price QTY Total
Gentle Cleansing Cream 4 fl oz/120 ml $19.00    
Rosacea Support Serum 1.7 fl oz/50 ml $29.95    
Anti-Redness Mask 2 fl oz/60 ml $29.95    
Nutrient Boost Spray 1.7 fl oz/50 ml * $24.95    
Skin Support Supplement 90 Capsules $24.95    
Skin Support System Dry Skin * $64.95    
Skin Support System Oily Skin * $59.95    

Body Care
ZIRO 2.5 fl oz/75 ml $34.95    
Ensa 90 Capsules $24.95    
Stretta 1.7 fl oz/50 ml $49.99    

Cold Sores
AvaCare 90 Capsules $29.99    
Zenhance 90 Capsules $29.99    
AvaCare System $49.95    
Discount Code Amount
  Do you have a discount code?    
Subtotal Amount
  Subtotal before shipping  
Shipping US CAN INT'L
  Standard Ground Shipping $6.95 $12.00 $15.00
  Please allow 4-7 business days for delivery.
  The Derma Cleanse® System includes free shipping within North America
Order Total Amount
  Total including shipping.  
ALL PRICES OF IN USD FUNDS  
US : 2009-07-04 07:47:38Reference Number: