Irritable Bowel Syndrome (IBS) Store ~ Shop at Heather's Tummy Care - MAIL ORDER FORM Heather's Tummy Care MAIL ORDER FORM – Heather's Tummy Care 19203 70th Ave S, Kent, WA 98032 USA help@helpforibs.com USA toll-free phone order line: 1-866-640-4942 Direct line: 1-206-264-8069 Fax: 1-206-264-8072 INDIVIDUAL ITEMS ORDERED: Eating for IBS $17.99 Quantity ______ Subtotal ______ First Year: IBS $17.99 Quantity ______ Subtotal ______ First Year: Crohn’s $18.99 Quantity ______ Subtotal ______ Heather Cooks! DVD $14.95 Quantity ______ Subtotal ______ Peppermint Caps (2) $39.94 Quantity ______ Subtotal ______ Hot Packs (2) $17.90 Quantity ______ Subtotal ______ Peppermint Tea Loose $19.97 Quantity ______ Subtotal ______ (Bulk Pouch 1 lb.) Peppermint Tea Bags $17.97 Quantity _____ Subtotal _____ (36 Jumbo Tea Bags, 4.2 oz. Can) Peppermint Tea Bags $47.97 Quantity _____ Subtotal _____ (BULK - 100 Jumbo Tea Bags, 11.8 oz. Pouch) Fennel Tea Loose $14.97 Quantity ______ Subtotal ______ (Bulk Pouch 1 lb.) Fennel Tea Bags $17.97 Quantity _____ Subtotal _____ (45 Jumbo Tea Bags, 8.8 oz. Can) Fennel Tea Bags $50.97 Quantity _____ Subtotal _____ (BULK - 150 Jumbo Tea Bags, 29.4 oz. Pouch) Acacia Fiber Pouch 1 lb. $18.97 Quantity ______ Subtotal ______ Acacia Fiber Can 1 lb. $19.97 Quantity ______ Subtotal ______ Acacia Fiber Travel Packets $21.94 Quantity ______ Subtotal ______ (2 boxes) Acacia Fiber Travel Packets CASE $93.25 Quantity ______ Subtotal ______ (10 boxes) DISCOUNT KITS ORDERED Acacia Tummy Fiber Mix Kit $54.79 Quantity______ Subtotal ______ (includes 3 items: 1 lb. Acacia Fiber Bulk Pouch, 1 lb. Acacia Can, 2 boxes Acacia Fiber Travel Packets) Diet Kit #1 $68.31 Quantity______ Subtotal ______ (includes 3 items: Eating for IBS, 8.8 oz. Can Fennel Tea Bags, 2 bottles Peppermint Caps) Diet Kit #2 $71.88 Subtotal ______ (includes 3 items: Eating for IBS, 2 Boxes Acacia Stick Packs, 2 bottles Peppermint Caps) Kitchen Kit $49.39 Quantity______ Subtotal ______ includes 3 items: Eating for IBS, Heather Cooks! DVD, 2 Boxes Acacia Stick Packs) Tummy Teabag Kit $68.29 Quantity______ Subtotal ______ (includes 3 items: 4.2 oz Can Peppermint Teabags, 8.8 oz. Can Fennel Tea Bags, 2 bottles Peppermint Caps) Peppermint Kit $52.12 Quantity_______ Subtotal _______ (includes 2 items: 4.2 oz Can Peppermint Teabags, 2 bottles Peppermint Caps) Bulk Herbal Kit $67.39 Quantity______ Subtotal ______ (includes 3 items: 1 lb. Bulk Pouch Organic Fennel Tea, 1 lb. Bulk Pouch Organic Peppermint Tea, 2 bottles Peppermint Caps) Starter Kit #1 $52.13 Quantity______ Subtotal ______ (includes 3 items: Eating for IBS, 2 Boxes Acacia Stick Packs, First Year: IBS) Big Kahuna Kit $121.36 Quantity______ Subtotal ______ (includes 7 items: Eating for IBS book, The First Year: IBS book, 8.8 oz. Can Fennel Tea Bags, 4.2 oz. Can Peppermint Tea Bags, 2 Hot Packs, 2 Boxes Acacia Stick Packs, 2 Bottles Peppermint Caps)" Tummy Fiber Acacia Senegal BULK KIT $51.22 Quantity______ Subtotal ______ (includes 3 - 1 pound pouches) Peppermint Caps BULK KIT $101.85 Quantity______ Subtotal ______ (includes 6 bottles of Peppermint Caps) Peppermint Tummy Teabags BULK KIT $48.52 Quantity______ Subtotal ______ (includes 3 cans of Peppermint Teabags - 108 jumbo bags total) Fennel Tummy Teabags BULK KIT $48.52 Quantity______ Subtotal ______ (includes 3 cans of Fennel Teabags - 135 jumbo bags total) SHIPPING: USA - All shipping is via USPS Priority / First Class Mail, 2-5 business days Free shipping for orders over $39 Otherwise, shipping is $5.97 for the first item, $9.97 for two or more items There is no additional shipping charge for more than two items. Shipping costs a maximum of $9.97 no matter what. USA - SPECIAL SHIPPING RATES APPLY TO THE KITS: Each Kit is counted not as a single item, but as the total number of items in the Kit. CANADA - All shipping is via Airmail, 7-10 business days Canada $21.95 for the first item, plus $5.00 for each additional item Shipping surcharge of $2.00 per can for Acacia & Teas in canisters INTERNATIONAL - All shipping is via Airmail 7-10 business days International $35.95 for the first item, plus $11.00 for each additional item Shipping surcharge of $3.00 per can for Acacia & Teas in canisters CANADA & INTERNATIONAL - SPECIAL SHIPPING RATES APPLY TO THE KITS: Each Kit is counted not as a single item, but as the total number of items in the Kit. In addition, there is a $1.25 shipping surcharge for each Kit containing three or more items. Shipping ______________ Items plus Shipping Subtotal __________ TAX: 9.9% tax (on items & shipping) for WA State shipping addresses only Tax ___________ Order Total ___________ PLEASE NOTE: If you have trouble determining the correct dollar amount for your order please call us (toll free 866 640 4942, direct 206 264 8069) or email us (Help@HelpForIBS.com) and we will help you. Checks or money orders received for amounts greater than the actual invoice amounts WILL NOT have the overage refunded, so please be sure you send a check or money order for the correct amount due. BILLING ADDRESS __________________________________________________________________ Name __________________________________________________________________ Street Address _______________________________ ________ ___________ ____________ City State/Province Zip Code Country _________________________ ________________________________________ Daytime Phone Number Email (required to fill order) SHIPPING ADDRESS Check here _____ to ship this order to the billing address Or ship to: SHIPPING ADDRESS __________________________________________________________________ Name __________________________________________________________________ Street Address _______________________________ ________ ___________ ____________ City State/Province Zip Code Country _________________________ ________________________________________ Daytime Phone Number Email (required to fill order) PAYMENT INFORMATION ____ Money order or check in US dollars enclosed. _____M/C _____ Visa _____ American Express _____ Discover ________________________________________________________________________ Credit card number Expiration THANK YOU FOR YOUR ORDER! YOUR BUSINESS IS TRULY APPRECIATED. Heather's Tummy Care 19203 70th Ave S, Kent, WA 98032 USA Help@HelpForIBS.com USA toll-free phone order line: 1-866-640-4942 Direct line: 1-206-264-8069 Fax: 1-206-264-8072