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FAX / POSTAL MAIL
 PURCHASE ORDER FORM
Bulk Powdered Herbs (1/2 lb quantities)

Bulk Powdered Herbal Extracts Plus Vitamins and Minerals

Please use the following Order Form for purchasing any of the premium quality Bulk Powdered Herbs & Herbal Extracts that you have seen in our Viable Herbal Solutions, Inc. Website by Fax or by Postal Mail, which you can print, then either fax or mail to us at
FAX: 1-800-505-9476 (215-337-8186)
MAIL: P.O. Box 969  Morrisville, PA 19067-0969

*** SECURE On-Line Credit Card Orders can be submitted HERE ***

Upon receipt, your purchase order will be processed immediately, and your products will be shipped within 1 business day.  And for your convenience, we will gladly accept your VISA, MasterCard, Discover Card, or American Express credit cards as payment for your product order.

*** PURCHASE ORDER FORMS in This Website ***
Type of Product Secure ONLINE
Purchases		 FAX / POSTAL MAIL
Purchases
Proprietary Health Support Blends Click Here Click Here
Volume Purchases of Proprietary Health Blends Click Here Click Here
Made-Fresh™ Single Encapsulated Herb Capsules Click Here Click Here
Made-Fresh™ Combo Encapsulated Herb Capsules Click Here
Viable Pets™ Herbal Support for Cats and Dogs Viable Pets (tm) Click Here Click Here
Bulk Herbs & Botanical Extracts (Powders) Click Here YOU ARE HERE


Use Your VISA Card For Your Herbal Product Purchases......Use Your MasterCard For Your Herbal Product Purchases...   Use Your Discover Card For Your Herbal Product Purchases.  ...Use Your Amex Card For Your Herbal Product Purchases.

All prices in this website are listed in U.S. Dollars.
Prices listed in this website do not include applicable shipping fees .

FAX / POSTAL MAIL PURCHASE ORDER FORM
Viable Herbal Solutions, Inc.
 Bulk Powdered Herbs

PART 1 of 4:   Enter Product Information in Order Table

Refer to Bulk Herbs & Extracts Ordering Information for associated Herb/Quantity/Pricing Details.
[ All materials are shipped as non-encapsulated powders ]

ENTER
Viable
6-Digit Item
Number

ENTER
Ingredient Description

ENTER
UNIT PRICE
( 1/2 lb. portion )
 from table

ENTER
Quantity
Ordered
( number of
1/2 lb. portions
desired )

ENTER
Total Cost
for
Quantity
Ordered
( $ )
         
         
         
         
         
         
         
         
         
         
         
         

Subtotal Amount ($) for This Order ($25.00 minimum order) :

 

Shipping & Handling (Add $4.75 Priority Mail; Add $17.00 Second Business Day; Add $22.00 Next Business Day) : 

 

TOTAL AMOUNT ($) FOR THIS ORDER :

  

Special Instructions:




PART 2 of 4:  Enter Payment Information

Payment Type:

VISA
MasterCard
Discover Card
American Express
Check Enclosed
Money Order Enclosed

For Fax Credit Card Orders Only: 1-800-505-9476 or 1-215-337-8186

For U.S. Mail Orders: make check or money order payable to "Viable Herbal Solutions"
Mail To: Viable Herbal Solutions  P.O. Box 969  Morrisville, PA  19067-0969

Credit Card Acct #: ...Exp Date:
Exact Name on Credit Card:

PART 3 of 4:  Enter Purchaser / Shipping Information

          Name:
       Company:
       Address:
          City:
         State:
           Zip:
       Country:
     Telephone:
           FAX:
        E-mail:

Your Comments & Suggestions are Always Welcome:




PART 4 of 4:   FAX or MAIL This Form When Ordering Info Is Complete

Viable Herbal Solutions, Inc.

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In addition to using our Secure On-Line Order Form, this product can also be ordered
by contacting our friendly sales staff, who will gladly accept
VISA, MasterCard, Discover Card, or American Express to complete your purchase.

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Last modified: December 12, 2006