Print this form to order by mail or fax.
The Herbal Touch Order Form

Name:

Canadian Shipping Charges
$0.00 - $40.00=$8.50
$40.01 - $100.00=$10.50

Address:

City:

Prov/State:

US. Shipping Charges
$0.00 - $40.00=$9.00
$40.01 - $100.00=$11.00

PC/Zip:

Tel:
E-mail:
   For orders over $100.00 please call
Item # Description Qty Price Amount
Payment:  Cheque    Subtotal

  GST

  PST
Ontario Only

  Shipping
      TOTAL

Please note the following:

Mail or fax to:
The Herbal Touch
P O Box 300
30 Dover St
Otterville On. Can N0J 1R0
Fax: 519-879-6812
© Copyright 2002 The Herbal Touch