Compound                          Weight    Price          Quantity           Cost Se-methylselenocysteine (SeMC) 200 mg, 100 count $8.95/bottle       Selenomethionine 200 mg, 100 count $6.95/bottle       L-Se-methylselenocysteine* SeMCTM 100 mg $100     200 mg $195     300 mg $290     400 mg $385     1000 mg $500     L-Selenomethionine 100 mg $100     200 mg $195     300 mg $290     400 mg $385     1000 mg $500     Methylseleninic acid 100 mg $100     200 mg $195     300 mg $290     400 mg $385     1000 mg $500     Selenocystine 100 mg $100     200 mg $195     300 mg $290     400 mg $385     1000 mg $500     Selenodiglutathione 100 mg $295     Gamma-glutamyl-Se-methylselenocysteine 100 mg $395     Total   Name: Company Name (if applicable):___________________________________________________ Shipping Address: ______________________________________ City: _________________________________________ State: ________            Zip code: ____________      Country:________________________________ Mailing Address: ______________________________________ City: _________________________________________ State: ________            Zip code: ____________      Country:________________________________ Your email address: ________________________________________________ Your phone number: _______________________________________________ Your Fax number:_________________________________________________ Purchase Order Number (if applicable):_________________________________ Special instructions:__________________________________________________________________ Preferred shipping method:__________________________________________________________ 8.25% sales tax on orders delivered to Texas

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