Order Form

Enter
Qty. 		Enter
Item Number 		Enter
Item Name 		Enter
Price per Item 		Calculate & Enter
Total Price
  

METHOD OF PAYMENT
Credit cards minimum $20.00 		Total Price
Check Money Order CA Res. add 7.75% sales tax
MasterCard Visa Shipping and Handling
Discover American Express Amount to be Sent


Exp. Date
Credit Card Number

Shipping&Handling (within US): 1 item $4; 2-4 items $6; 5-7 items $8; over 7 items $10.

SHIPPING ADDRESS

Name
Street
City State Zip
Telephone number Email
Please print & send this form with payment to the address below, or you may click the Submit button.

10900 Westminster #7, Garden Grove, CA 92843; tel 714-636-0561; fax 636-0385; email tbcb@tbcb-herbs.com