HELPFORIBS.com MAIL ORDER FORM – 

Heather's Tummy Care
80 S. Washington, Suite 304, Seattle, WA 98104 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			$15.26	Quantity ______	Subtotal ______
First Year: IBS			$14.36	Quantity ______	Subtotal ______ 
First Year: Crohn’s		$14.36	Quantity ______	Subtotal ______
IBS Self-Hypnosis CDs           $89.95  Quantity ______ Subtotal ______
Heather Cooks! DVD		$13.46	Quantity ______	Subtotal ______
Peppermint Caps (2 bottles)	$21.95	Quantity ______	Subtotal ______
Hot Packs (2)			$12.51	Quantity ______	Subtotal ______

Peppermint Tea Loose		$14.36	Quantity ______	Subtotal ______
(Bulk Pouch 1 lb.)

Peppermint Tea Loose		$11.66	Quantity ______	Subtotal ______
(5 oz. Canister)

Peppermint Tea Bags		$10.76	Quantity _____ Subtotal _____
(36 Jumbo Bags, 4.2 oz. Can)	

Fennel Tea Loose		$11.66	Quantity ______	Subtotal ______
(Bulk Pouch 1 lb.)

Fennel Tea Loose		$13.46	Quantity ______	Subtotal ______
(14 oz. Canister)

Fennel Tea Bags			$11.66	Quantity _____ Subtotal _____
(45 Jumbo Bags, 6.8 oz. Can)

Acacia Fiber Bulk Pouch 1 lb.	$15.26	Quantity ______	Subtotal ______

Acacia Fiber Can 1 lb.		$18.86	Quantity ______	Subtotal ______


DISCOUNT KITS ORDERED

Acacia Tummy Fiber Kit		$32.32	Quantity______	Subtotal ______
(includes 2 items: 1 lb. Acacia Fiber Bulk Pouch and 1 lb. Acacia Can)

Diet Kit #1 			$44.64	Quantity______	Subtotal ______
(includes 3 items: Eating for IBS, 6.8 oz. Can Fennel Tea Bags, 
2 bottles Peppermint Caps)

Diet Kit #2 			$51.04  Quantity______	Subtotal ______
(includes 3 items: Eating for IBS, 1 lb. Acacia Can, 2 bottles 
Peppermint Caps)

Kitchen Kit			$42.28	Quantity______	Subtotal ______
(includes 3 items: Eating for IBS, Heather Cooks! DVD,
1 lb. Acacia Can)

Bulk Herb Kit	 		$43.84	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 		$43.04	Quantity______	Subtotal ______
(includes 3 items: 14 oz. Can Organic Loose Fennel Tea, 
5 oz. Can Organic Loose Peppermint Tea, 2 bottles Peppermint Caps)

Starter Kit #1 			$43.08	Quantity______	Subtotal ______
(includes 3 items: Eating for IBS, 1 lb. Can Organic Acacia, 
First Year: IBS)

Big Kahuna Kit	 		$94.84	Quantity______	Subtotal ______
(includes 7 items: Eating for IBS book,  The First Year: IBS book,
6.8 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)
	

SHIPPING:

USA - All shipping is via USPS Priority Mail, 2-5 business days
$4.99 for first item
Plus $2.29 for a second item, for a total of $7.28
Plus $2.29 for a third item, for a total of $9.57
There is no additional shipping charge for more than three items.
Shipping costs a maximum of $9.57 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, 3-7 business days      	
Canada $9.95 for the first item, plus $3.00 for each additional item 	
Shipping surcharge of $2.00 per can for Acacia & Teas in canisters 

INTERNATIONAL - All shipping is via Airmail 3-7 business days
International $11.95 for the first item, plus $6.00 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: 
8.8% tax (on items & shipping)
for WA State shipping addresses only 
							Tax ___________ 
 

						Order Total ___________



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 in US dollars enclosed (personal checks are not accepted)

_____M/C		_____ Visa		
_____ American Express	_____ Discover 


________________________________________________________________________ 
Credit card number					Expiration


THANK YOU FOR YOUR ORDER! YOUR BUSINESS IS TRULY APPRECIATED.

Heather's Tummy Care
80 S. Washington, Suite 304, Seattle, WA 98104 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