Follow These 2 Simple Steps To Place Your Order By Mail...

1) Print this order form and fill it out (use the product title and amount listed in description of product).

2) Send this order form, along with a money order, cashier's check, well-hidden cash (Note: Pay by cash, in US Dollars, Gold or Silver, and you will automatically get 20% in product for free as a special bonus!), or a personal check (personal checks take up to 2 weeks to clear, for fastest shipping please pay using any of the other payment methods offered), to me at:

Allan Zufall                                             Please make payments out to Allan Zufall.
PO Box 32
Reynoldsville, PA 15851

All orders are shipped discreetly from Allan Zufall, with the return address above. There is no mention of my web site StrictlyHerbal.com on the package. I ship fast, and I ship orders on a first-come, first-served basis, so the sooner your order is in the mail, the sooner you will get your order.

Any Questions? Phone: 814-612-2042; Email: ALLAN(at)STRICTLYHERBAL(dot)COM
As soon as I get the payment, I will ship your order & email you with the shipping info.

WHERE SHOULD I SHIP YOUR ORDER? (Please print clearly, all fields are required.)
Ship To:

First & Last Name: __________________________

Mailing Address:   __________________________

	          __________________________

State / Zip Code:  __________________________

Country:	          __________________________

Your Phone #:     (_____)  ______ - _________

E-Mail Address:    __________________________

PRODUCT				COST		X	QUANTITY		= SUBTOTAL
_________________________		$_________		________		$_________

_________________________		$_________		________		$_________

_________________________		$_________		________		$_________

_________________________		$_________		________		$_________

_________________________		$_________		________		$_________

_________________________		$_________		________		$_________

							SUBTOTAL  = 	$_________

NEW LOW $4.99 FLAT RATE SHIPPING AND HANDLING ON ANY ORDER!
				+ Shipping & Handling			+$___4.99_

Do you want to faster 3-6 day delivery by USPS Priority Mail? Please add $5.		+$________

Would you like your package insured? Please add $1.99 per $50 worth of shipping insurance to the total.
									+$________

	   TOTAL (add subtotal + shipping & handling + insurance)  =		 $________