Heron Herbals
ENVIRONMENTAL FORMULAS
RETAIL ORDER FORM
before July 10, 1994: P.O. Box 278, Ashfield, MA 01330 (413) 628-4422
after July 10, 1994: P.O. Box 75, West Danville, VT 05873 (802) 684-2570

Name: Date:
Address:
City: State: Zip:
Phone:


Prices:
2 oz dropper bottle
4 oz dropper bottle
$24.00
$45.00


Quantity
2 oz. 4 oz. Name of Formula $ Total
Total Cost of Merchandise $
Shipping and Handling $
Total Order $


Shipping and Handling Per Order:
up to $59.99
$60.00 through $69.99
$70.00 through $99.99
$100 and over
  C.O.D. add $4.25
$6.25
$7.00
$7.50
$8.00


For shipments to Alaska, Hawaii, Canada and Puerto Rico, please double these amounts.



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