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Order Form fax 1-250-890-0218    ORDER ONLINE AT: www.phytopia.biz

enter personal information & payment method

 

 

NAME ..........................................................................................

 

Phytopia.biz

ADDRESS .........................................................

 

HomeoWise.com

CITY:...........................................................................................

1610a Anderton Rd.

PROV/STATE.............................................................................

Comox, BC. Canada

TEL: & FAX: ..........................................................

 

V9M 3Z0

EMAIL:.........................................................................................

order #

Item

Qnty.

 Price

Amount

Homeopathic FIRST-AID kit 12 x remedies

..........

$ 42.00

    $ .......................................................

Homeopathic MATERNITY kit 12 x remedies

..........

$ 42.00

     $ .......................................................

Homeopathic KID 12 x remedies

..........

$ 42.00

     $ .......................................................

Homeopathic STARTER kit 24 x remedies

..........

$ 72.00

     $ ....................................................... 

Homeopathic FAMILY kit 48 x remedies

..........

$ 144.00

     $ .......................................................

Homeopathic PET kit 12 x remedies

..........

$ 36.00

     $ ....................................................... 

Homeopathic PET kit 24 x remedies

..........

$ 72.00

     $ .......................................................

Single Homeopathic Remedies (please attach separate sheet with remedies & dilution)

..........

$ 4.95

     $ ....................................................... 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bum Balm (for babies) 1 oz

..........

$ 8.95

     $ .......................................................

Bum Balm (for babies) 2 oz

..........

$ 14.95

     $ ....................................................... 

Trauma Salve 1 oz

..........

$ 12.95

     $ ....................................................... 

Trauma Salve 2 oz

..........

$ 19.95

     $ ....................................................... 

Comfrey Salve 1 oz

..........

$ 8.95

     $ .......................................................

Comfrey Salve 2 oz

..........

$ 14.95

     $ ....................................................... 

 

..........

$ 7.95

     $ ....................................................... 

 

 

 

 

Sub Total's

   $ .......................................................

ORDER ONLINE AT: www.phytopia.biz

Discount

    $ - -

VISA        MASTERCARD    AM. EXPRESS

Shipping

    $ - 

     -                 -                 -                  exp..../....

tax 1

    $ - 

All prices are subject to change without notice. See online price list.

 

tax 2

    $ - 

 

TOTAL$