Herbal-Smoke.com
PO BOX 86187
Phoenix, AZ 85080-6187

CASH OR MONEY ORDERS
MONEY ORDERS PAYABLE TO: Herbal Smoke

WEBSITE http://www.herbal-smoke.com

For your convenience this is a form that allows you to type all your order information online before you print. You may also cut and paste product names from our online catalog.
 
Name: Date:
Address:
City: State: Zip:
Province:
Country:
Where did you her about us?
Email:
Please your include e-mail address.

Quantity

Item Description ( Name of Blend or Herb )

Total Cost

  
SUBTOTAL:

 
USPS Standard Delivery: SHIPPING:

 
TOTAL:


IMPORTANT: Standard Shipping is ONLY $5.95 flat rate to the U.S. and Canada no matter how much you purchase from our site. International orders $9.95 anywhere in the world

EXPRESS AND PRIORITY SHIPPING:

(1) U.S. and Canada Only - Express Shipping add $15.00 to our flat rate shipping of $5.95 for a total of$20.95

(2) U.S. and Canada Only - Priority Shipping add $5.00 to our flat rate shipping for a total of $10.50

DISCLAIMER You must be at least "18" years old to purchase from this web site. By placing an order with Herbal-Smoke.Com you are certifying that you are at least "18" years of age. NO SALES TO MINORS. As with any herb or dietary supplement, consult with a qualified health practitioner prior to use. Do not use this products if pregnant, nursing, or taking medication. Do not drive or operate heavy machinery while using herbal smoking blends/ marijuana alternatives. Herbal-Smoke.com is not liable for any damages or injury caused by abuse, mis-use or over-use of these products. Please use them responsibly as they are meant to be used. By purchasing these products you are agreeing to everything stated in the disclaimer