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) $32.37 Quantity ______ Subtotal ______ Hot Packs (2) $15.97 Quantity ______ Subtotal ______ Peppermint Tea Loose $17.97 Quantity ______ Subtotal ______ (Bulk Pouch 1 lb.) Peppermint Tea Loose $13.47 Quantity ______ Subtotal ______ (5 oz. Canister) Peppermint Tea Bags $14.37 Quantity _____ Subtotal _____ (36 Jumbo Bags, 4.2 oz. Can) Fennel Tea Loose $13.47 Quantity ______ Subtotal ______ (Bulk Pouch 1 lb.) Fennel Tea Loose $14.37 Quantity ______ Subtotal ______ (16 oz. Canister) Fennel Tea Bags $15.27 Quantity _____ Subtotal _____ (45 Jumbo Bags, 8.8 oz. Can) Acacia Fiber Pouch 1 lb. $16.97 Quantity ______ Subtotal ______ Acacia Fiber Can 1 lb. $19.77 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 $51.75 Quantity______ Subtotal ______ (includes 3 items: 1 lb. Acacia Fiber Bulk Pouch, 1 lb. Acacia Can, 2 boxes Acacia Fiber Travel Packets) Diet Kit #1 $59.97 Quantity______ Subtotal ______ (includes 3 items: Eating for IBS, 8.8 oz. Can Fennel Tea Bags, 2 bottles Peppermint Caps) Diet Kit #2 $63.97 Subtotal ______ (includes 3 items: Eating for IBS, 1 lb. Acacia Can, 2 bottles Peppermint Caps) Kitchen Kit $46.67 Quantity______ Subtotal ______ includes 3 items: Eating for IBS, Heather Cooks! DVD, 1 lb. Acacia Can) Tummy Teabag Kit $56.47 Quantity______ Subtotal ______ (includes 3 items: 4.2 oz Can Peppermint Teabags, 8.8 oz. Can Fennel Tea Bags, 2 bottles Peppermint Caps) Peppermint Kit $43.97 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) Special Herb Kit $56.87 Quantity______ Subtotal ______ (includes 3 items: 16 oz. Can Organic Loose Fennel Tea, 5 oz. Can Organic Loose Peppermint Tea, 2 bottles Peppermint Caps) Starter Kit #1 $49.25 Quantity______ Subtotal ______ (includes 3 items: Eating for IBS, 1 lb. Can Organic Acacia, First Year: IBS) Big Kahuna Kit $107.97 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, 1 lb. Can Organic Acacia Fiber, 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 $40.67 Quantity______ Subtotal ______ (includes 3 cans of Peppermint Teabags - 108 jumbo bags total) Fennel Tummy Teabags BULK KIT $43.27 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 $5.97 for 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 $25.95 for the first item, plus $8.00 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