![]() |
P.O. Box 366 Croydon, PA 19021 Ph: (888) 909-8889 Fax: (888) 940-0888 E-mail: info@herbalextractsplus.com Business Hours: 8:00 am to 5:00 pm (EST) |
| Billing Information: | Shipping Information: | ||||
| Name on Card: | Name: | ||||
| Complete Address (where credit card bill is sent): |
|
Complete Address: |
|||
| Phone #: | E-mail: | ||||
Card Type: (circle one) |
Visa Mastercard Discover American Express |
Expiration Date: |
|||
Card #: |
*3- or 4-Digit Card Code: |
||||
Signature: |
* Visa, Mastercard, and Discover have a 3-digit number on the back of the card, and American Express has a 4-digit number on the front for security purposes. | ||||
Check or Money Orders: |
Please make your check or money order payable to Herbal Extracts Plus and mail it along with the completed order form to the address above. We accept U.S. funds only. | ||||
Item # |
Item Description |
Quantity |
Unit Price |
Total Cost |
|
Customer Comments:
|
|||||
Shipping Method: (Fill in the box next to your desired method and calculate on right) |
Subtotal: |
$ | |||
Standard Shipping: USPS Priority Mail ($5.00) |
|||||
UPS 3-Day: US ONLY ($12.50) |
Shipping Charges: (see chart at left) |
$ | |||
UPS Second Day Air: US ONLY ($20.00) |
|||||
UPS Overnight: US ONLY ($30.00) |
|||||
UPS Saturday Delivery: US ONLY (Add $10.00 to the price of the method you choose above) |
Final Order Total: |
$ | |||
|
International: USPS Global Express ($30.00 - delivery in 3-5 business days) |
|||||
International: USPS Priority Mail International ($22.50 - delivery in 6-10 business days) |
|||||
Thank you for doing business with Herbal Extracts Plus! |
|||||