Member Name/ID:

Date: _________
Time:_________
By: __________
Retail Order Form
2 oz. ALCOHOL TINCTURES QTY PRICE 90 CT. CAPSULE FORMULAS QTY PRICE
3-Lung Herbal Blend $25.00 3-Lung Herbal Blend $27.00
Adrenal Support $25.00 Adrenal Support $27.00
Bleeding $25.00 Bone & Connective Tissue Support $27.00
Blood Circulation $25.00 Brain & Nerve Health $27.00
Blood Support $25.00 Endocrine Support $27.00
Bone & Connective Tissue Support $25.00 Female Reproductive Tonic $27.00
Brain & Nerve Health $25.00 GI Renew (Loose Stools-0) $27.00
Chem/Metal Detox $27.00 GI Renew (Normal-1) $27.00
Endocrine Support $25.00 GI Renew (Mild-2) $27.00
Eye Health $25.00 GI Renew (Moderate-3) $27.00
Female Reproductive Tonic $25.00 GI Renew (Strong-4) $27.00
Gland Tonic $25.00 GI Renew (Super Mover-5) $27.00
Heal All Herbal Blend $25.00 Gland Tonic $27.00
Strong Heart Y $25.00 Happy Caps $27.00
Healthy Joints $25.00 Heal All Herbal Blend $27.00
Kidneys & Bladder I (Cleanser) $25.00 Healthy Joints $27.00
Kidneys & Bladder II (Diuretic) $25.00 Kidneys & Bladder I (Cleanser) $27.00
Kidneys & Bladder III (Cleanser) $25.00 Kidneys & Bladder II (Diuretic) $27.00
Kidneys & Bladder IV (Diuretic) $25.00 Kidneys & Bladder III (Cleanser) $27.00
Liver/Skin $25.00 Kidneys & Bladder IV (Diuretic) $27.00
Lung Detox $25.00 Liver/Skin $27.00
Lymphatic System/Spleen (Mild) $25.00 Lymphatic System/Spleen (Mild) $27.00
Lymphatic System/Spleen (Moderate) $25.00 Lymphatic System/Spleen (Moderate) $27.00
Lymphatic System/Spleen (Strong) $25.00 Lymphatic System/Spleen (Strong) $27.00
Male Reproductive Tonic $25.00 Male Reproductive Tonic $27.00
Pancreas Support $25.00 Pancreas Support $27.00
Parasite G (General) $25.00 Parasite G (General) $27.00
Parasite M (Micro-Organisms) $25.00 Parasite M (Micro-Organisms) $27.00
Pituitary Support $25.00 Pituitary Support $27.00
Prostate Health $25.00 Prostate Health $27.00
Spasm Calm (Herbal Antispasmodic) $25.00 The Ultimate Herbal Blend $27.00
Thyroid Support $25.00
The Ultimate Herbal Blend $25.00
Ultimate Immune Tonic $35.00 360 CT. CAPSULE BLENDS QTY PRICE
GI Broom $47.00
High Energy by Nature $52.00
DEEP TISSUE CLEANSING KITS QTY PRICE Superfood Explosion $52.00
Weeks 1-2 (with Handbook) w/GI # ___ $266.00
Weeks 1-2 (No Handbook) w/ GI # ___ $236.00
Weeks 3 & 4 w/ GI # ___ $236.00 FAB FOUR KITS QTY PRICE
Weeks 5 & 6 w/ GI # ___ $236.00 Fab Four Kit w/ GI # ___ $102.00
Weeks 7 & 8 w/ GI # ___ $236.00 Fab Four CAPS w/ GI # ___ $108.00
Weeks 9 & 10 w/ GI # ___ $236.00 Fab Four GLYCERIN w/ GI # ___ $102.00
Weeks 11& 12 w/ GI # ___ $236.00
 2 oz. GLYCERIN FORMULAS QTY PRICE LOOSE TEA BLENDS QTY PRICE
3-Lung Herbal Blend $25.00 3-Lung Tea (10 oz) $25.00
Adrenal Support $25.00 Heal All Tea (7 oz) $27.00
Blood Circulation $25.00 Kidney Tea (7 oz) $25.00
Bone & Connective Tissue Support $25.00 Stomach Tea (7 oz) $25.00
Brain & Nerve Health $25.00 The Ultimate Herbal Blend (7 oz) $25.00
Chem/Metal Detox $27.00
Endocrine Support $25.00
GI Renew (Normal-1) $25.00 POWDER BLENDS QTY PRICE
GI Renew (Mild-2) $25.00 GI Broom (7 oz) $32.00
Gland Tonic $25.00 Mother’s Milk by Nature 0-6 mos. N/A TBD
Heal All Herbal Blend $25.00 Mother’s Milk by Nature 6-12 mos. N/A TBD
Kidneys & Bladder I (Cleanser) $25.00 Muscles by Nature $52.00
Kidneys & Bladder II (Diuretic) $25.00 Herbal Tooth & Gum Powder (2 oz) $12.00
Kidneys & Bladder III (Cleanser) $25.00 Superfood Explosion (7 oz) $52.00
Kidneys & Bladder IV (Diuretic) $25.00
Liver/Skin $25.00
Lung Detox $25.00 SALVES QTY PRICE
Lymphatic System/Spleen (Mild) $25.00 The Ultimate Salve $33.00
Lymphatic System/Spleen (Moderate) $25.00
Lymphatic System/Spleen (Strong) $25.00
Pancreas Support $25.00 ADD’TL PHARMACY PRODUCTS QTY PRICE
Parasite G (General) $25.00
Parasite M (Micro-Organisms) $25.00
The Ultimate Herbal Blend $25.00
Thyroid Support $25.00
Voice Box Spray $14.00

EDUCATIONAL MATERIALS QTY PRICE

The Detox Miracle Sourcebook $29.95
Deep Tissue Cleansing Kit Handbook $35.00

Florida Residents: 7% sales tax applies to all educational materials

BILLING ADDRESS SHIPPING INFORMATION

Name: Name:
Address: Address:
Apt./Suite #: Apt./Suite #:
City/ST/ZIP: City/ST/ZIP:
Country: Country:

q Please E-Mail Tracking and Invoice to E-mail Address provided

UPS: q Ground q 2nd Day q 3rd Day q Next Day Air
USPS: q First Class q Priority q Express q International Priority q International Express
SIGNATURE REQUIREMENT: q Reviewed with Member q Waive Signature Requirement

PAYMENT DETAILS
All orders must be pre-paid. We accept all major credit cards for your convenience.
q Visa q Master Card q Discover q American Express q PayPal
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Expiration:
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q Keep Payment Info On File q Destroy Payment Info After Use
Revised November 2020