Women's Natural Health® Order Form
- Print out a copy of this page (or handwrite your order) and mail or fax it to us.
- Be sure to include correct address information and remember to include a telephone number just in case we need to reach you concerning your order.
- Your first bottle of our product is considered a sample order and is guaranteed to bring noticeable results if used as directed. If not fully satisfied, call us immediately and return the empty bottle and/or portion to us for a full refund.
Ship to: (Print Clearly)
STATE/PROV._________________ POSTAL/ZIP_________ COUNTRY: ____________
Item# 3600 - Endo-Fem®; with PMS Plus®;
1 bottle (90 tablets / 30 day supply): $19.75 Each
Item# 3700 - Meno-Fem herbal formula for hot flashes
1 bottle, (90 tablets / 30 day supply): $19.75 Each
Shipping & Handling: $__________ ($2.00 per item ordered)
(please allow 14 days for shipping if paying by check)
Total Payment Enclosed: $__________
Payment: ____Personal Check OR ____Money Order OR ______ Credit Card
If you are paying by credit card, please fill out the following information (on a printout of this page):
Name On Credit Card: ____________________________
Credit Card Type - Circle One: (MC/Visa/Amex)
Credit Card Number: ________________________________
Expiration Date: ___________________________________
Authorized Signature: ________________________________
NOTE: The charge will appear on your bill under the name "Healthline".
We have quantity discounts available when you reorder. The order form will be included with your package. For orders outside the US and Canada, please call or write to us for shipping prices.
Mail or fax your order to:
Women's Natural Health®
350 Ward Ave #106-555
Honolulu, Hawaii USA 96814
If you are contacting us from outside the US or Canada,
you may call us at 808-539-2300 or fax us at 808-988-9766.
Retail stores may also inquire for information by calling our toll-free number above.
Due to a large volume of calls and time zone differences, you may reach a recorded message when you call us. Please leave a detailed message so that we can answer your inquiry. Thank you.