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    GROTEK MEGA PACK ORDER FORM

Thank you for choosing Grotek’s award winning formula the MEGA PACK.

To order, please complete the following ORDER FORM for your Special Edition MEGA PACK for only $100 ($12.50 shipping charge anywhere in the US).

This is a Limited Time Only for USA customers offer (August 1st to October 31st 2011) – Only One Per Customer

For more information on the products included in the MEGA PACK, please download the product information sheet (size of .pdf file - 1.7 MB)

If you have any questions, please contact toll free at: 1.888.747.4769,
between 8:30 am - 4:30 pm PST, Monday to Friday, or via email: megapack@grotek.net

For Secure Payment of the MEGA PACK the Grotek's customer service representative will contact you at the main phone number listed below. Visa and MasterCard purchases only.

  Order Grotek MEGA PACK

Please complete the following form to order the Grotek MEGA PACK.

Contact Information: * = Required fields
* First Name: 
* Last Name: 
* E-Mail Address: 
* Main Phone Number: 
(please include area code)
Cell Phone Number (optional): 
(please include area code)

Payment, Shipping and Order confirmation will be confirmed via our customer service representative to your Main Phone Number Listed


Mailing Address: * = Required fields

Available to USA Customers ONLY!

* Address: 
* City: 
* State/Province: 

  * Zip/Postal Code:   
* Country: 

Did you know we have the stores that may have the MEGA PACK near your area? - Click Here>>>

Customer Questionnaire:
  Which of the following best describes you?
 
  How did you hear about the Grotek MEGA PACK?
 
  What more would you like to see from Grotek?
 
  We would welcome your Feedback of your success of our Mega Pack.
 
   
 
  All information is strictly confidential and will not be used for any purpose other than to accurately serve you and your business.