Women's Natural Health Order Form

WOMEN'S NATURAL HEALTH, ENDO-FEM and PMS PLUS are registered trademarks, registered with the United States Patent and Trademark Office.

ORDERING INFORMATION

  1. You may either use our Secure On-Line Order Form, or you can print out a copy of this page (or handwrite your order) and mail or fax it to us.
  2. 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.
  3. Satisfaction with our products is guaranteed when used as directed. If not fully satisfied, call us immediately and return the empty bottle and/or portion to us for a full refund.


CUSTOMER INFORMATION:

For expedient delivery, please write your name and address information below exactly as it should appear on the shipping label:

NAME___________________________________________

ADDRESS: Line 1_______________________________________________________________

Line 2_______________________________________________________________

Line 3_______________________________________________________________

Line 4_______________________________________________________________

CITY____________________________

STATE/PROV._________________ POSTAL/ZIP_________ COUNTRY: ____________

Today's Date____________________

Your telephone numbers in case we need to reach you regarding your order:
Daytime # ________________ Evening # ______________

Your email address (we only contact you regarding your order or in response to inquiries)

_________________________________________________

Order:

Item# 3600 - Endo-Fem; with PMS Plus, 1 bottle (90 tablets / 30 day supply): $19.75 Each

Item# 3700 - Meno-Fem™ Hot Flash Formula, 1 bottle, (90 tablets / 30 day supply): $19.75 Each

Add Shipping Charge of $2.00 to above for Total Payment Enclosed: $__________
Our standard quantity discounts are automatically applied to orders for more than one bottle, but we suggest you begin with a one-month supply. A reorder form and discount coupon is enclosed with your order package.
For orders outside the US and Canada, please e-mail us for information on our very economical overseas shipping prices.

Payment Made by: Personal CheckMoney Order Credit Card
Please complete the following for credit card orders:

Name on Card:________________________________________

Authorized Signature:___________________________________

MCVisa AmEx
Card #________________________ Expiration:_______________

Click Here For Our Secure On-Line Order Form Or mail or fax your order to:

Women's Natural Health
Suite 106-555
350 Ward Avenue
Honolulu, HI 96814-4091
USA
Phone: 1-800-718-7777
Fax: 1-800-772-3771
Email: info@endometriosis.com
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 incoming calls and considerable 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.

With our customer needs in mind, we give top priority to order processing and shipment! Thank you for your patronage.

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