Print and fill in this form to place an order via mail or fax.
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1. Select Items
| Formula | Price | Qty | Amount |
|---|---|---|---|
| An Mien Pien | 8.95 | ||
| Angelica | 7.95 | ||
| Angelica & Red Date Tea | 5.95 | ||
| Ba Zhen Wan | 6.95 | ||
| Bi Yan Pian | 6.95 | ||
| Bojenmi Tea | 5.95 | ||
| Bu Zhong Yi Qi Wan | 6.95 | ||
| Ching Wan Hung - Tube | 4.95 | ||
| Ching Wan Hung- Jar | 7.95 | ||
| Curing Pill | 5.95 | ||
| Eight Flavor Tea Pill | 7.95 | ||
| Er Chen Wan | 6.95 | ||
| Essence of Tienchi Flowers Tea | 4.95 | ||
| Ganmaoling Tablets | 6.95 | ||
| Goldenbook Tea Pills | 7.50 | ||
| Gui Pi Wan | 6.95 | ||
| Hsiao Keh Chuan | 5.95 | ||
| Hua Tuo Plaster | 4.95 | ||
| Kai Kit Pills | 9.95 | ||
| Liu Jun Zi Tablets | 6.95 | ||
| Lycii and Chrysanthemum Tea Pills | 6.95 | ||
| Pe Min Kan Wan | 6.95 | ||
| Ping Chuan Pill | 6.95 | ||
| Red Date and Longan Tea | 4.95 | ||
| Run Chang Wan | 7.95 | ||
| Six Flavor Tea Pills | 7.95 | ||
| Tiger Balm | 4.95 | ||
| Xiang Sha Yang Wei Wan | 6.95 | ||
| Xiao Yao Wan | 6.95 | ||
| Yat Tip Tor | 4.95 | ||
| Yee Tin Oil | 4.95 | ||
| Yin Chiao Chieh Tu Pien - Sugar Coated Tablets | 7.95 | ||
| Yin Chiao Chieh Tu Pien - Uncoated Tablets | 9.95 | ||
| Zheng Gu Shui | 9.95 | ||
| Item Total Amount... | |||
2. Calculate The Order Total
Item Total Amount (from left): ____________
Shipping & Handling (see table below): ____________
Order Total (add the amounts): ____________
| Shipping & Handling Fees | |
|---|---|
| Item Total | Amount |
$.01 - $25.00 |
$7.00 $8.00 $9.00 $10.00 Charged Separately |
3. Enter Payment Info
___ Credit Card
___ Check or Money Order
(Visa, MC, AmEx, Discover)
_________________________________________________
Name on Card
_________________________________________________
Account Number
______________________
ExpirationSecurity Code (What's this?)
4. Sign The Order
_________________________________________________
Signature is required on ALL orders
5. Enter the Delivery Address
_________________________________________________
Name
_________________________________________________
Street Address or P.O. Box
_________________________________________________
City, State, Zip (We deliver to US addresses only)
_________________________________________________
Telephone
_________________________________________________
Email
6. Submit Your Order
By Mail: ChineseHerbShop.net
1188 Trout Brook Drive, West Hartford CT 06119
By Tel: (800) 733-4325
By Fax: (860) 242-0126
©Copyright 2008, ChineseHerbShop.net. All rights reserved.