Magnesium Therapy Product Order Form

Magnesium Therapy Product Order Form

Please fill out the order form below. Once the order is submitted the shipping charges and possible discounts will be calculated. You will then be contacted to confirm your order prior to shipping and to discuss the different Payment option. (Interac Email Money Transfer, or PayPal) Once you approve and not pay with your online banking option through Interac Email Money Transfer, you will be sent a PayPal invoice that you can pay by PayPal or Credit Card even if you don’t have an account with PayPal. Products are shipped when payment in full is received. Amounts are in Canadian Dollars.

If you have any questions please don’t hesitate to contact us.

    Your Contact Information

    All fields of contact information are required

    Your First Name

    Your Last Name

    Mailing Address


    Postal Code



    Your Phone #

    Best time to be reached

    Your Email


    Magnesium Therapy Product Product Order (please fill in the desired quantity)


    Price $


    Magnesium Salt 1.0 kg


    Magnesium Gel 2.86 kg


    Magnesium Spray 1.56 kg






    "Disclaimer Consent - Required"]

    I have read, understood the conditions in the document below and by purchasing Magnesium Therapy products I accept those conditions. Web Informed Consent (opens as PDF document in a new window. You will find a link to review or print this document in the copy of this order which you receive by email after submitting this form)

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