Welcome to Our Online
Secure Order Form

 

 
International Orders
Click Here

 


Welcome to our Online Secure Order Form. Our web server is a secure server and uses the industry standard SSL (Secure Sockets Layer) protocol for encryption. This means all of your credit card and personal information transmitted via the Internet is encrypted and safe from any prying eyes.

PRIVACY POLICY: The Relief Zone values each and every one of our customers and their privacy. Your personal information will never be sold or given away to anyone.


Name  
Email  
Company   (optional)
Address  
City  
State/Province  
Zip/Postal Code  
Phone  
Credit Card:
 VISA VISA
 MasterCard MasterCard
 American Express American Express
Credit Card #  
Exp. Date:   (mm/yy)
CVV #    What is my CVV code?

   

All orders processed within 24 hours.

Your credit card will be billed for a total of $72.95 ($69.95 plus $3.00 S&H) US funds.
Delivery time is approximately 3-7 business days for US & CDN orders via First Class Mail.

NOTE:
After pushing the "Submit Order" button, you will receive an immediate confirmation of your order, so please stay online.