Irritable Bowel Syndrome (IBS) Store ~ Shop at Heather's Tummy Care

<title>Irritable Bowel Syndrome (IBS) Store ~ Shop at Heather's Tummy Care - MAIL ORDER FORM</title>								
								
	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			$15.29 	Quantity ______	Subtotal ______			
First Year: IBS			$15.29 	Quantity ______	Subtotal ______ 			
First Year: Crohn’s		$16.16 	Quantity ______	Subtotal ______				
Heather Cooks! DVD		$13.46 	Quantity ______	Subtotal ______				
Peppermint Caps (2)		$35.95 	Quantity ______	Subtotal ______					
Hot Packs (2)			$15.97 	Quantity ______	Subtotal ______			
								
Peppermint Tea Loose	$17.97 	Quantity ______	Subtotal ______				
(Bulk Pouch 1 lb.)								
		
Peppermint Tea Bags		$16.17 	Quantity _____ Subtotal _____					
(36 Jumbo Tea Bags, 4.2 oz. Can)	

Peppermint Tea Bags		$35.97 	Quantity _____ Subtotal _____					
(BULK - 100 Jumbo Tea Bags, 11.8 oz. Pouch)						
								
Fennel Tea Loose		$13.47 	Quantity ______	Subtotal ______				
(Bulk Pouch 1 lb.)								
								
Fennel Tea Bags			$16.17 	Quantity _____ Subtotal _____				
(45 Jumbo Tea Bags, 8.8 oz. Can)

Fennel Tea Bags			$45.97 	Quantity _____ Subtotal _____				
(BULK - 150 Jumbo Tea Bags, 29.4 oz. Pouch)									
								
Acacia Fiber Pouch 1 lb.	$16.97 	Quantity ______	Subtotal ______					
								
Acacia Fiber Can 1 lb.		$17.97 	Quantity ______	Subtotal ______				
								
Acacia Fiber Travel Packets	$17.95 	Quantity ______	Subtotal ______					
(2 boxes)								
								
Acacia Fiber Travel Packets	CASE 	$79.75 	Quantity ______	Subtotal ______				
(10 boxes)								
								
								
DISCOUNT KITS ORDERED								
								
Acacia Tummy Fiber Mix Kit		$50.05 	Quantity______	Subtotal ______				
(includes 3 items: 1 lb. Acacia Fiber Bulk Pouch, 1 lb. Acacia Can, 								
2 boxes Acacia Fiber Travel Packets)								
								
Diet Kit #1 			$61.11 	Quantity______	Subtotal ______			
(includes 3 items: Eating for IBS, 8.8 oz. Can Fennel Tea Bags, 								
2 bottles Peppermint Caps)								
								
Diet Kit #2 			$62.81 	Subtotal ______				
(includes 3 items: Eating for IBS, 2 Boxes Acacia Stick Packs, 2 bottles 							
Peppermint Caps)								
								
Kitchen Kit			$44.97 	Quantity______	Subtotal ______			
includes 3 items: Eating for IBS, Heather Cooks! DVD, 								
2 Boxes Acacia Stick Packs)								
								
Tummy Teabag Kit	$58.94 	Quantity______	Subtotal ______					
(includes 3 items: 4.2 oz Can Peppermint Teabags, 8.8 oz. Can Fennel Tea Bags, 								
2 bottles Peppermint Caps)								
	
Peppermint Kit 		$45.82 	Quantity_______  Subtotal _______
(includes 2 items: 4.2 oz Can Peppermint Teabags, 2 bottles Peppermint Caps)
	
Bulk Herb Kit	 		$60.27 	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 			$47.56 	Quantity______	Subtotal ______			
(includes 3 items: Eating for IBS, 2 Boxes Acacia Stick Packs, 								
First Year: IBS)								
								
Big Kahuna Kit	 		$109.29 	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 	$47.97 	Quantity______	Subtotal ______					
(includes 3 - 1 pound pouches)								
								
Peppermint Caps BULK KIT 			$91.65 	Quantity______	Subtotal ______			
(includes 6 bottles of Peppermint Caps)								
								
Peppermint Tummy Teabags BULK KIT	$45.82 	Quantity______	Subtotal ______					
(includes 3 cans of Peppermint Teabags - 108 jumbo bags total)								
								
Fennel Tummy Teabags BULK KIT 		$45.82 	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