Healing Herbs of China
P O Box 10537
New Brunswick NJ 08906-0537
1. PRINT this order form by selecting "Print" from the
File menu.
2. Fill out the form CLEARLY to ensure prompt delivery.
3. Be sure to fill in the ITEM #, PRODUCT DESCRIPTION,
QUANTITY & PRICE.
4. Include the correct shipping & handling charge.
Incorrect or missing S&H charge may delay your order.
5. Please DOUBLE CHECK your order and YOUR ADDITION.
6. Please include phone # and e-mail address in case we
need to
contact you about your order.
BILLING ADDRESS: (Address on credit card statement) Name________________________________________________________ Address______________________________________________________ City__________________________________ State _____ Zip __________ SHIP TO: (If different than BILL TO)Name_______________________________________________________ Address_____________________________________________________City__________________________________ State _____ Zip __________ Phone ___________________ E-Mail_____________________________ ---------------------------------------------------------------------------------------------------------Payment Information [__] Check (Payable to: "Healing Herbs of China”)[__] Visa [__] Master Card [__] American Express Card No: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration Date:__ __ / __ __ Signature____________________________________________________ ---------------------------------------------------------------------------------------------------------Merchandise Information Item# -- Product Description --------------------------------- QTY ---- Price ------ Total $
_____ ___________________________________ ______ ________ _________ Subtotal $ ________ | |
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Shipping charges: Canadian Orders: There may be an additional charge to ship to Canada due to additional customs handling requirements. Foreign Orders: e-mail: herbchina@aol.com for pricing & shipping costs. |
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We are not responsible for typographical errors.
Information on this site has not been evaluated by the FDA.
It is not intended to prescribe, diagnose, or cure.
Please consult your healthcare practitioner with any questions.