CHECK - MONEY ORDER FORM

HERBS BY NATURE
1333 Stony Brook Rd
Stony Brook , New York, 11790
 
 
QTY PRICE  PRODUCT NAME  

PROD#'s

 

 TOTAL $
$11.95  Arthritis Care #H1090  
$29.95  Colon Cleaner #H1020  
$29.95  Diabetic Care #H1160  
$19.95  Adrenal Care #H1060  
$15.95  Heart Care #H1390  
 

 

 

 

TOTAL PRICE OF ALL ITEMS COMBINED

$

WE CHARGE ONE PRICE FOR SHIPPING & HANDLING

$4.35

TOTAL BILL FOR YOUR ORDER

$
   
 

 THIS IS YOUR SHIPPING LABEL - PLEASE PRINT CLEARLY
NAME  

 

 
ADDRESS  
CITY, STATE, ZIP