Healing Ways Nerve Force Tea Order Form

Order form

You may complete the form online, print it out and mail it. You may also complete the form and pay by check if desired. Our mailing address is:

Healing Ways
18-801 Roberts Rd #83
Desert Hot Springs, CA 92241

ABC Detox Program comes as a set of 5 products for $110.00. Shipping and handling $9.00, sent Priority Mail. Please allow 1-2 weeks for delivery.

Order ABC Detox Program - Quantity:

Nerve Force Tea comes in a package of 36 tea bags for $10.00. Shipping and handling $1.00, sent Priority Mail. Please allow 1-2 weeks for delivery.

Order Nerve Force Tea - Quantity:

Refreshing Spray is available in either a 4 oz. pump mist bottle or a 1 oz. nasal spray or 8 oz. refill bottle.

8 ounce bottle..............$20.00
4 ounce spay...............$14.00
1 ounce nasal spray....$10.00

Shipping and handling $4.00, sent Priority Mail. Please allow 1-2 weeks for delivery..

Order Refreshing Spray - Size:
Order Refreshing Spray - Quantity:

Silver Coloids is available in either a 2oz or a 8oz bottle.
2 oz. bottle...............$20.00 + $4.00 Shipping and Handling
8oz bottle.................$45.00 + $5.00 Shipping and Handling

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Order Silver Coloids - Quantity:

Shipping Information

Name:
Address:
Apt. #:
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E Mail:
BILLING INFORMATION (California resident subject to 7.5% sales tax)
Credit Card:
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Expiration Date: (xx/xx/xx)
Name on Card:
Billing Address:
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To Pay by Check Phone: ______________________________________________ Email: ______________________________________________ Check enclosed for: $__________________________________ Click to Print This Page

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