You may be print and fax
this form to us at 808-325-0645.
(on most systems you click File then Print)
You may also "copy and paste" this form - then E-mail your
information to helpinghands@hawaii.rr.com
We will confirm your order via e-mail within 24 hours.
If you would like to return to our "Automated Order Form" click here
Order Items
Shipping & Handling = $4.00 or 3% of order, whichever is greater.
Hawaii residents please add 4.167%
Please calculate the total $ amount of your order and enter below.
Be sure to include Shipping & Handling (and tax, if applicable).
Total $Amount of Order equals: _______________________
Shipping Information
Name: _______________________________________________________
Shipping Address: ___________________________________________
City: _______________________________ State:_____ ZIP: ____________
Country ______________ Phone: ____________________ E-mail:___________________
Special Instructions, Comments, Questions:
Payment Information
Select Credit Card:..... Visa ~~ Mastercard ~~ Discover (circle one)
Card number: __________________________ Exp date: ______
Please enter the cardholders name exactly as it appears on your card:
Please enter your card's billing address:
The Relief Line/Body Care
Stress Relief | Migraine
Relief | Respiratory Relief
Muscle & Joint Relief |
Relief Line Travel Bag
Natural Face & Skin Care Rejuvenation
After Sun Relief | Natural
Insect Repellant
Massage and Body Oils
Tropical Euphoria | Zanzibar
| Aphrodisiac
The Story
About Essential Oils | About
Aromatherapy | The Warren Botanicals Story
| Comments
Distributed by Helping Hands Massage ~ P.O. Box 5132 ~ Kailua-Kona, HI
96745
808-325-1081 · FAX 808-325-0645
e-mail helpinghands@hawaii.rr.com