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FAX / POSTAL MAIL
 PURCHASE ORDER FORM
Volume Purchases of Proprietary Blends

Please use the following Order Form for "Volume Purchases" of any of the premium quality Proprietary Herbal Health Support Blends 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 YOU ARE 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 Click 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 are listed in U.S. Dollars.
 Prices listed in this website do not include applicable shipping fees .

FAX / POSTAL MAIL PURCHASE ORDER FORM
 PURCHASE ORDER FORM
Volume Purchases of Proprietary Support Blends

PART 1 of 4:   Enter Product Information in Order Table

Refer to Volume Purchase Pricing Information Page for associated Product/Quantity/Pricing Details.

VHS
Product
Number

Proprietary Product Name & Description
( 600 mg. per capsule )

ENTER
The Quantity
of Capsules
You Wish To Order
(700, or 1150,
or 1400)

ENTER
The Price
for the Quantity
You Are Ordering
(from pricing table)

Example

 Example Entry - I want to purchase 700 capsules of Arterial Tone

700

$104

AT1001

 Arterial Tone - Support for a Healthy Heart & Arteries

AV1001

 B.A.V. - Botanical Immune System Support

BA1001

 Botanical Advantage - Herbal Support for Chronic Vaginal Infections

HH1001

 Botanical Assistance - Natural Support for Healthy Hair

GB1001

 Botanical Benefits - Gall Bladder Support Blend

PS1001

 Botanical Boost - Pancreas Support Blend

BC1001

 Botanical Control - Allergy / Asthma Support

BH1001

 Botanical Defense - Breast Health Support for Women

BE1001

 Botanical Enrichment - Herbal Support for ADD / ADHD

HN1001

 Botanical Plus - Natural Support for Healthy Nails

OS1001

 Botanical Preserve - Natural Support for Osteoporosis

LU1001

 Botanical Release - Herbal Support for Healthy Lungs

BR1001

 Botanical Relief - Allergy / Asthma Relief

ME1001

 Botanical Results - Herbal Support for Chronic Menstrual Problems

SG1001

 Botanical SafeGuard - Herbal Support for GERD

DD1001

 Dermal Detox - Formula for Acne & Skin Disorders

EP1001 E-Plus - Environmental Pollution Body Cleanser

FE1001 Femality - Female Vitality Enhancement Blend

FP1001 Focal Point - Botanical Support for Chronic Ulcers

GW1001

 General Wellness - Natural Formula for Good Health

GE1001

 Gluco-Essentials - Blood Sugar Support Blend

IB1001

 Herb-a-Calm - Support for Irritable Bowel Relief

PR1001

 Herbagessic - Botanical Blend for Pain Relief

CT1001

 Herbal Advance - Botanical Support for Carpal Tunnel Syndrome

HA1001

 Herbal Alert - Metabolism Support & Alertness Aid

IG1001

 Herbal Answer - Botanicals for Chronic Intestinal Gas (Flatulence)

HP1001

 Herbal Assist - Parasite Elimination Blend

FB1001

 Herbal Assurance - Botanical Support for Fibroids

HB1001

 Herbal Balance - Osteoarthritis Support Formula

HD1001

 Herbal Boost - All-Natural Digestion Stimulant

CS1001

 Herbal Charge - Botanical Support for Chronic Canker Sores

HL1001

 Herbal Comfort - Natural Laxative Support

CD1001

 Herbal Conclusion - Botanical Support for Cervical Dysplasia

EN1001

 Herbal Control - Botanical Support for Endometriosis

HE1001

 Herbal Ease - Anti-Inflammatory Support

DB1001

 Herbal Encouragement - Botanical Diuretic Blend

HO1001

 Herbal Outlook - Support Formula for Depression

PF1001

 Herbal Phen-Fen - Alternative Weight Loss Support

BP1001

 Herbal Promise - Botanical Support for Occasional Breast Pain

BD1001

 Herbal Pure - Blood Purification & Detoxification Blend

HJ1001

 Herb Relief - Muscle-Joint Cartilage Support

HG1001

 Herbal Rescue - Botanical Relief for Hangover Conditions

HM1001

 Herbal Response - Botanical Support for Mononucleosis

HM2001

 Herbal Response Plus - Mononucleosis Support plus Symptom Relief

HR1001

 Herbal Rest - Formula for Somber Sleep

CH1001

 Herbal Serenity - Botanical Relief for Chronic Hemorrhoid Problems

HT1001

 Herbal Solace - GS - Botanical Support for PMS - General Symptoms

HT1002

 Herbal Solace - B - Botanical Support for PMS - Bloating

HT1003

 Herbal Solace - C - Botanical Support for PMS - Cramps

HT1004

 Herbal Solace - IC - Botanical Support for PMS - Irregular Cycles

HT1005

 Herbal Solace - HB - Botanical Support for PMS - Heavy Bleeding

HT1006

 Herbal Solace - PMP - Botanical Support for Pre-Menopause Protection

HT1007

 Herbal Solace - HFNS - Botanical Support for Menopause - Hot Flashes / Night Sweats

HT1008

 Herbal Solace - IPF - Botanical Support for Menopause - Irregular Periods / Flooding

HT1009

 Herbal Solace - BC - Botanical Support for Menopause - Body Cramps

HT1010

 Herbal Solace - VAD - Botanical Support for Menopause - Vaginal Dryness

HT1011

 Herbal Solace - MS - Botanical Support for Menopause - Mood Swings

HT1012

 Herbal Solace - HH - Botanical Support for Menopause - Hormone Helper

HF1001

 Herbal Solution - Botanical Support for Chronic Body Odor

HS1002

 Herbal Stim - Energy Enhancement Support Formula

HZ1002

 HerbVal - Natural Relaxation Preparation

HZ1003

 HerbVal Supra - High Potency Relaxation Blend

KC1001 Kidney Care - Kidney & Bladder Support Formula

LP1001 Lady's Passion - Female Libido Enhancement Blend

NR1001 Natural Radiance - Internal Collagen / Skin Enhancer

NB1001 Natures Blend - Liver Support Formula

NI1001 Nature's Instinct - Herbal Support for Hypothyroidism

MS1001

 On The Move 1 - Nausea / Motion Sickness Support

MS1002

 On The Move 2 - Vertigo / Dizziness / Menieres Support

MS1003

 On The Move 3 - Morning Sickness Support

MS1004

 On The Move 4 - Sea Sickness Support

PP1001

 P-Plus - Support for Prostate Problems

PE1001 Pressure Ease - Natural High Blood Pressure Support

PD1001

 Primary Defense - Botanical Support for Glaucoma

TC1002 Total Cleanse - Colon Cleansing Aid

VV1002 Variguard - Botanical Support for Varicose Veins

VA1002 Viable Antioxidants - Herbal Antioxidant Enhancer

VB1001

 Viable Bio-Guard - Herbal Support for Gout

HC1001

 Viable Clean - Cholesterol Reduction Support

VG1001

 Viable Veggies - Salad in a Capsule

TG1001

 Viable Vigor - Thyroid / Glandular Support Blend

EY1001

 Viable Vision - Herbal Support for Healthy Eyes

VM1001

 Viable Vita-Health - High Potency Botanical Vitamin / Mineral Blend

VP1001

 Vibro Plus - Vitality & Hormonal Boost Formula

HV1003

 HerbVeil Internal - Internal Health Support

IN3001

 Independence 1-Step - Support Formula For Smokers

IN2003

 Independence - P1 Stop Smoking Control Formula

IN1001

 Independence - P2 Stop Smoking Cleanse Formula

IN1002

 Independence - P3 Stop Smoking Maintain Formula

TP1001

 Viable Transitions - Weight Loss Formula

TP1002

 Viable Transitions - Formula for Good Health

TP1003

 Viable Transitions - Cholesterol Reduction Formula

Subtotal Amount ($) for This 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