MAIL ORDER FORM
Please print this form, complete it and mail it to the address below.
PLEASE PRINT NEATLY IN ENGLISH

WE SHIP MAIL ORDERS WORLDWIDE

Send to:
The Herbal Shop
PO Box 110
Somers Point NJ 08244
USA
 Make all checks and Money Orders Payable to:
The Herbal Shop

Instructions
1. Locate the name and price of the product(s) you are purchasing from the website
2. Fill in product name and price. Multiply your desired quantity by the price per item and enter the price total.
3. Calculate your subtotal and add shipping and tax (NJ State Residents only)
4. Write your SHIP TO Address in the space provided below.
5. Include your payment (USD CASH, Money Order or Check) and Send to Above Address.

All orders over 25.00 AUTOMATICALLY receive a free sample of herbal smoke.

Product Description

Price Each  
Quantity

Item Total
 





 

 
Subtotal:
NJ Residents Add 6% Sales Tax:
Shipping:
Total:
You must be 18 years of age to order.
Please sign below to confirm you are 18 years of age or older.

Signature:______________________________________________________

 
ALL AMOUNTS IN
US DOLLARS
YOUR NAME & SHIPPING ADDRESS:

SHIPPING FEES
$7.99 USA (USA orders can add $5 for rush delivery)
$10.99 USD International

CHECKS
All orders paid via Check will be held until payment clears.
Usually 5-10 business days.

MONEY ORDERS AND CASH SHIP SAME DAY!