O2 Innovations CTA-08 owner manual Order Form, Item # Quantity Regular Price Promo Code Total

Exp. Date: _____________

Order Form

REMEMBER to order extra filters to keep your O2-B™ Portable Oxygen Bar in top

condition for many years of happy, healthy breathing! Try a different aromatherapy essential oil and order an O2-B™ Portable Oxygen Bar for a friend!

	CTA-08
MF-100 Mouthpiece Filters	O2-B™Portable Oxygen Bar
(12 pack)

MC-100

Mouthpiece Covers

RF-100

(2 pack)

OH-100 Aromatherapy

CD-100 Set of Relaxation CDs (6)	(10 ML bottle)
	Bee Happy

Rear Cabinet Filter

AF-100

Air Intake Filter

SF-100

Side Cabinet Filter

		OC-100 Aromatherapy		HS-100 Headset
		(10 ML bottle)
		Bee Calm			HO-100 Headset Hose
CUT ✁		✁					✁
	O2-B™Portable Oxygen Bar & Accessories Order Form
	CUSTOMER INFORMATION (please print)				NOTE: No delivery to P.O. Boxes
	Name	M.I. Last Name			or APO addresses.
Complete Street Address				Apt. / Suite #
City		State	ZIP Code		Daytime Phone Number
E-Mail
ORDER INFORMATION
Item #	Item	Quantity	Regular Price		Promo Code	Total
CTA-08	O2-B™ Portable Oxygen Bar		$	699.00 each	_____________	$ ____________
HS-100	Headset (includes 12 filters, 2 mouthpiece covers)		$	39.95 each		$ ____________
HO-100	Headset Hose (6.5 feet)		$	14.95 each		$ ____________
MF-100	Mouthpiece Filters (12 pack)		$	12.95 each		$ ____________
AF-100	Air Intake Filter		$	12.95 each		$ ____________
MC-100	Mouthpiece Covers (2 pack)		$	14.95 each		$ ____________
RF-100	Rear Cabinet Filter		$	11.95 each		$ ____________
SF-100	Side Cabinet Filter		$	11.95 each		$ ____________
CD-100	Set of Relaxation CDs (6)		$	60.00 each set	$ 29.95 each set	$ ____________
OH-100	Aromatherapy (10 ML bottle)	Bee Happy	$	18.00 each		$ ____________
OC-100	Aromatherapy (10 ML bottle)	Bee Calm	$	18.00 each		$ ____________

SHIPPING & HANDLING

Shipping & Handling for the O2-B™ Portable Oxygen Bar is FREE in the Continental United States.

For all shipments of any product outside the Continental United States, call for shipping rates.

Please Make Check or Money Order payable to: O2 Innovations™

METHOD OF PAYMENT: DO NOT SEND CASH

For all other items include $	4.95 S/H EACH $_____________
PA Residents include 6% Sales Tax	$_____________
Total Amount Due	$___________

Allow 2-6 weeks for delivery

Check Money Order VISA Mastercard American Express Discover (This is the 3 or 4 digit code on the front

Credit Card #: ______________________________________________________________________ CVM#:_______________ or back or your credit card)

8/2005

Card Holder’s Signature: ______________________________________________Name as it appears on card: ______________________________________________ (Please Print)		14
Fax order to: 570-655-7710or Place order form and payment in envelope and send to: O2 Innovations™ 600 Luzerne Avenue, West Pittston, PA 18643.	Oxygen Is Beautiful™
You may also order at www.o2-b.comor by calling 866-432-0202. Credit card orders only please. Prices subject to change without notice.