Alternative
Order Form

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 helphnd@aloha.net
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
To verify that you are ordering the correct product
you may click on the item & go to the product's description

Sport Body Toner

½oz @ $20.00ea.... Quantity _______
2oz @ $59.00ea.... Quantity  _______

Muscle & Joint Relief ~ Sport Body Repair

½oz @ $35.00ea.... Quantity _______
2oz @ $85.00ea.... Quantity  _______

Migraine Relief

1/8oz @ $11.00ea.. Quantity _______
½oz @ $33.00ea... Quantity  _______

Stress Relief ~ (Calming)

1oz @ $14.00ea..... Quantity _______
4oz @ $39.00ea.... Quantity  _______

Respiratory Relief

1/8oz @ $14.00ea.. Quantity _______
½oz @ $43.00ea... Quantity  _______

Egyptian Face Oil

½oz@ $30.00ea.. Quantity _______

Tropical Euphoria

3.3oz @ $27.00ea.. Quantity _______
7oz @ $44.00ea.... Quantity  _______

Zanzibar

3.3oz @ $26.00ea.. Quantity _______
7oz @ $41.00ea.... Quantity  _______

 

 

Aphrodisiac

3.3oz @ $29.00ea.. Quantity _______
7oz @ $48.00ea.... Quantity  _______

 

Rose Bath Salts

4oz @ $8.00ea..... Quantity  _______

 

Lavendar Bath Salts

4oz @ $7.00ea.. Quantity _______

Rose Water

6oz @ $25.00ea.... Quantity _______

 

Relief Line Travel Bags

1/8oz each of: Muscle Joint Relief, Stress Relief,
Migraine Relief, Respiratory Relief

1unit @ $40.00ea.... Quantity _______

 

 

Shipping & Handling = $4.00 or 3% of order, whichever is greater.

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:

Distributed by Helping Hands Massage ~ P.O. Box 5132 ~ Kailua-Kona, HI 96745
808-325-1081 · FAX 808-325-0645

e-mail helphnd@aloha.net