SleepWell.com offers a variety of natural remedies to help you achieve a good night's sleep. Fill out the Sleep Well Now Questionnaire to find out which Chinese Herbal Formulas are available for various insomnia symptoms.To order, please fill out this form, print it and fax to 800-236-6899.

Item#

Product

QTY

List Price

Total

1601
Tian Wang Bu Xin Dan
$8.00
1602
Bai Zi Yang Xin Wan
$14.00
1603
Chai Hu Long Gu Mu Li Tang
$10.00
1604
Gan Mai Da Zao Tang
$9.00
1605
Wen Dan Tang
$9.00
1606
Suan Zao Ren Tang
$6.00
         
         
         

Sub Total

Sales Tax ( CA 8.25%)

Add Postage & Handling Charges

Standard: $5;  
3-day AIR: $11;  
2-day AIR: $17;  
PAL format add $5.50  

Total Amount

Credit Card #: Exp. Date:

Name:

Address:

City, State, ZIP:

Billing Address if different:

Signature: ____________________________________________

 

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