Tri Vortex Ordering Form

Please note, you are only putting yourself on a wait list to find out if Tri-Vortex Discs will be available again in the future.
I will not collect any payment unless they become available again and after I confirm your purchase.

Name

First Name

Last Name

Phone

(###)

###

####

Email

How do you prefer to be contacted?

Phone call

Text

Email (be sure maura@flexhealthwithmaura.com is marked as a safe contact.)

What items are you ordering?

One or two Tri-vortex gold plated discs $117 each (includes shipping) 3 or more Tri-Vortex gold plated discs $97 each (includes shipping) Tri-vibes gold plated pendant $397 (includes shipping)

How do you prefer to pay

In person (St. Louis, Missouri only)

Venmo

Zelle

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country