NOVUS OPTIMUM INC™ ORDER FORM Ordering Instructions

Product Name mg# - qty/pkg s=Softgel   c=Capsules Price($)     Qty Amount ($) MIND SHARPENER™ 1800mg - 30s $30.00         4-STRESS™ 1800mg - 30s $30.00         4-CELLULITE™ 1800mg - 30s $30.00         SECRET PLEASURE™ 1800mg - 30s $30.00         ASIAN SECRET™ 650mg - 60c $30.00         OPTIMUM MAN™ 650mg - 60c $30.00         4-ENDOCRINE HEALTH™ 750mg - 60c $30.00         N. HORMONE BALANCE™ 750mg - 100c $28.00         BEST VITAMIN™ 750mg - 120c $30.00         SILK-SKIN™ 750mg - 100c $28.00         WEIGHTLOSS 4-KIDS™ 650mg - 50c $33.00         VEGETARAIN WEIGHTLOSS™ 650mg - 60c $33.00         4-HEALTHY HAIR™ 750mg - 60c $30.00         VITAMIN 4-JOINTS™ 650mg - 60c $30.00         ERECTILE ENHANCER™ 200mg - 4c $20.00         VIRGIN-AGAIN™ 30g - gel $20.00         4-CHOLESTEROL™ 200mg - 100c $18.00         Subtotal $   Taxes if applicable +   Shipping & Handling = "Per Your Instructions" +   Total Payment (Foreign Orders - only money order or credit card accepted) $

Ship To: Name: Tel: Street  Address: Suite/  Apt#: City: State/  Zip: Ordered   by: Tel: E-mail: Fax:

Payment Method: Check or Money Order Enclosed. Payable to NOVUS OPTIMUM™, INC.   Visa   Master Card   Discover

Print Name of   Card Holder: Credit   Card No.: Authorized   Signature: Expiration   Date:

Ordering Instructions: PHONE:   Call Novus Optimum: (888) 499-9100 PRINT & FAX:   Print this Order Form (go to your browser's File Menu, then select Print)...complete Order Form...then Fax to (415) 986-1580 PRINT & MAIL:   Print this Order Form (go to your browser's File Menu, then select Print)...complete Order Form...then Mail to:           NOVUS OPTIMUM LAB           P. O. Box 640588           San Francisco, CA 94164-0588 USA DOWNLOAD ORDER FORM:   "Right Click" on Downloadable Order Form and select "Save Target As..." to download the form that will open in your word processor...this form can then be completed and SAVED...you can then attach your completed order form to an e-mail to Novus Optimum (simple instructions are included on the form) E-MAIL:   Send an e-mail to orders@virgin-again.com & let us know what you need Getting HELP:   Call phone us at (888) 499-9100 or send an e-mail to help@virgin-again.com

The NOVUS OPTIMUM™ GUARANTEE If not satisfied within 30 days of purchase, we will exchange your purchase(s) with any of our products or we will refund your money."