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SECURE CREDIT CARD ORDER FORM
SSL CERTIFIED SECURE SERVER
MAY 2022
- Be Well, Stay Well!
24hr CUSTOMER SERVICE:
Tel: Los Angeles, CA, USA (1) 818 212 9772
PAYMENT AND SHIPPING LOCATION:
Credit card payments are processed and orders shipped out from HTE head office, Los Angeles: Hsin Ten Enterprise, Inc. - 2028 Santa Anita, Unit A, South El Monte, CA 91733
Orders are processed in US$
FAST DELIVERY:
1-5 business days within USA.
5-7 days to Canada.
14 day Free Trial, from day of delivery.
Money back guarantee, minus non-refundable shipping fee.
Place order below in 3 easy steps:
1) Shipping Info. 2) Go Shopping. 3) Credit Card Info.
STEP 1) SHIPPING INFO:
Name:
*
First
Last
Email:
*
Required for Invoice and Tracking Number.
Phone:
*
###
-
###
-
####
In case we need to contact you about your order.
Shipping Address:
*
Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
NOTE: PO Box Not Accepted.
STEP 2) GO SHOPPING!
Check boxes for products desired. Click image to go to product page for detailed info.
THE ORIGINAL CHI MACHINE:
SDM-888. Footrest cover included automatically.
Sun Ancon Chi Machine:
$460.00 ($20 off regular sale price)
Extra Footrest Cover:
US$5.00
Comments/Requests:
SOQI FAR INFRARED DOME SAUNA:
x2 Stands included to raise dome height + x2 armrests.
Far Infrared Dome:
US$950.00
Dome Carry Bag:
US$70.00
Dome Curtains (x1 pair):
US$30.00
Comments/Requests:
ELECTRO REFLEX ENERGIZER (ERE):
x6 Electro-Pads and Remote Control Included.
Electro Reflex Energizer:
$420.00
ERE Carry Bag:
US$25.00
ERE Electro-Pads:
US$19.99 (x1 pair)
ERE Electro-Pad
Cables:
US$20.00 (x1 pair)
Comments/Requests:
E-POWER MACHINE:
x1 Belt & x1 Silver Indicator Pen Included.
E-Power Machine:
US$620.00
E-Power Carry Bag:
US$25.00
E-Power Extra Belt:
US$80.00
E-Power Silver Pen:
US$20.00
E-Power Energy Wand:
US$70.00
Comments/Requests:
SOQI BED: USA Mainland Only. For home or business. Installment plan available.
Massage table with x3 Far Infrared Domes, x1 Chi Machine. Curtains included. Built in MP3 player.
SOQI Bed:
US$5,190.00
OTHER PRODUCTS: USA / Canada Only.
Two sizes available:
Reg: 2 ft x 3 ft / 61.0 mm x 91.4 mm
Grande: 43" x 45" / 595 mm x 1155 mm
FIR Heating Pad:
US$160.00 x1 Reg.
US$260.00 x1 Grande
US$290.00 x2 Reg.
US$480.00 x2 Grande
FIR Belt - Sizes run small.
FIR Back Support Belt
& Waist Cincher:
US$49.00 (regular sale price is $80.00)
Please select size
Small
Medium
XLarge
XXLarge
Become a Distributor: USA / Canada Only.
Health and Business Manual.
Download in English or Spanish.
New Distributor:
US$29.95
SSN# (USA only):
DELIVERY OPTION - SIGNATURE REQUIRED
OPTIONAL - USA ONLY: Due to packages sometimes being stolen if left on doorstep by delivery company, you may request "Signature Only Delivery":
Signature Required:
Please select
x1 Machine - $6.50
x2 Machines - 10.00
x3 Machines - 13.00
x4 Machines - $15.00
USA Only.
STEP 3) CREDIT CARD INFO:
Credit Card
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
Protected in vault
Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Name on Credit Card:
*
Billing Address (if different to shipping address):
Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Comments Box:
Extra products, requests, specific voltage etc
Personal Confirmation Number:
*
Type in any 6 numbers.
SHIPPING USA: Fedex or UPS.
Chi Machine, ERE, E-Power: $25.00
FIR DOME: $55.00
SOQI BED: $400.00 - CA $300.00
SALES TAX determined by delivery zip code.
Tax free states: OR, MT, DE, NH - AK, HI, PR
SHIPPING CANADA: USPS, Fedex, UPS.
Chi Machine: US$90.00
ERE and E-Power Machine: US$80.00
FIR Dome: US$190.00
FIR Heating Pad: US$60.00 Reg. - x2 US$90.00
FIR Heating Pad: US$90.00 Grande - x2 US$130.00
Customers are responsible for Canadian customs or import taxes that may apply.
SOQI - Natural Healing as Nature Intended.
THANK YOU FOR SHOPPING WITH CHI MACHINE INTERNATIONAL.
PLEASE NOTE:
1) We will shortly email you a confirmation total including sales tax and shipping.
2) Within approx 24hrs of HTE head office Los Angeles credit card verification and shipping, you will receive your official invoice including the tracking number.
HTE Head Office business hours are from Mon-Fri - 9am to 5pm - PST
24hr CUSTOMER SERVICE: Los Angeles, CA, USA (1) 818 212 9772
PLEASE CALL US DIRECTLY IF THE ORDER FORM DOES NOT SUBMIT ...
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