Green Leaf Herbs Online Order Form

15% Off All Regular Prices When Purchased Online

For mail orders: Please use order form below and enclose it with a cashiers check or money order ( No personal checks accepted )

Make Cashiers Check or Money Order Payable To:

Green Leaf Herbs
P.O. Box 3041 Culver City, Ca 90231
(310) 202-6695- Fax: (323) 295-0680

NAME:
ADDRESS:APT:
CITY:
STATE:ZIP CODE:
PHONE #

ORDER FORM:

H.B. #1, #2 Multi-Herbal Cleanse& Herbal Eliminator	$69/set	QUANTITY	TOTAL
H.B.#1 Multi-Herbal Cleanse 333 tablets	$45.00	QUANTITY	TOTAL
H.B. #2 Herbal Eliminator 120 tablets	$24.00	QUANTITY	TOTAL
H.B. #3 Extra Strength Herbal Eliminator 120 tablets	$29.90	QUANTITY	TOTAL
H.B. #4 Herbal Feminine Relief 120 tablets	$34.90	QUANTITY	TOTAL
H.B. #5 Herbal Male Blend 120 tablets	$34.90	QUANTITY	TOTAL
*NEW Complete Multiple Vitamin 60 tablets	$18.00	QUANTITY	TOTAL
		SUB-TOTAL:
Shipping & Handling: Purchases $ 1 to $ 80.00, add $ 8.00. For each additional $ 30.00 purchase, add $3.00		Cod Charge Shipping &Handling:
		Add State Sales Tax: (CAOnly 8.25%)
		Total:

CUSTOMER SERVICES:
1-800-80-HERBS (1-800-804-3727)
7 DAYS A WEEK/ 24 HOURS A DAY
OR FAX YOUR ORDER: 1-323-295-0680
WWW.GREENLEAFHERBS.COM

INFORMATION ON ORDERING

All orders are shipped as promptly as possible following receipt of order. We ship using USPS Priority Mail (Note: USPS Priority Mail can take up to 10 business days for delivery). We accept cashiers checks, money orders, and credit cards (Visa/Mastercard and American Express). Please make cashiers check or money order payable to Green Leaf Herbs. Thank you for your order.