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Swift CBD Fax or Mail Order Form

Fill out this form online, then click the Print button
in your browser. You can then fax it to us at;
(480) 287-8722

All fields are required.

Order Date:
Name:
Address:
City:
State:
Zip:
Country:
Phone:
Email Address:
Shipping Option:
Total
Type of Card
Credit Card Number
Expiration Date  
Security Code


Make checks payable to Nutra Pure, LLC and mail to the below address.

Nutra Pure, LLC,
500 Broadway Blvd #480,
Vancouver WA 98660

Your order will be processed on the next business day after receipt.

Thank You for your order!
The Swift CBD Staff.
www.swiftcbd.com