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Fax Order Form

Order online at www.herbspro.com Call Toll Free-1-866-915-5300 International 510-324-2902

Customer Service Hours:9 Am to 5 Pm PST Mon-Fri Fax Toll Free: 24 Hours, 7 Days a Week-510-324-5300

For any reason, if you can not order online or do not wish to order online,you might want to print and keep "Fax order Form" for later use.

Please fill all the details of the products you wish to purchase and fax it to us at the fax number provided.

* If you do not remember the HerbsPro item number of any product,you may enter 12 digit UPC of the product in the product name column.
The 12 digit UPC is usually below the barcode towards the lower side of the product label.

Please fill out all of the information below: Shipping Address

Name :
Address :
City :
State :
Country :
Zip :
Phone :
Billing Address
If Billing address is same as shipping address

Name :
Address :
City :
State :
Country :
Zip :
Phone :
E-mail Address :

Sno	Item no	Qty	Product Name & size	Price	% Disc	Disc Amout	Total

				Sub Total:	0
*	Shipping charges & tax will be calculated at the time of checkout


	Payment type:

Visa

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American Express

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Money Order

Your card number (all digits please):

Expiration Month:

Year:

First Name(As on Card)

Last Name(As on Card)

CVV Code

Prices are subject to change or correction without notice.

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