Mail and Fax Order Form
Please fill out the form below and then either mail or Fax to Integrated Herbal Systems, LLC. Address and fax information are listed at the bottom of the form.
 
The MetaSystem: Please select your items.
Call for quantity discounts and monthly specials!
MetaSystem Professional
Qty. @ $150.65
MetaSystem Professional Plus
Qty. @ $161.05
TR II
Qty. @ $67.55
TR
Qty. @ $57.15
Protein Enhancer
Qty. @ $29.99
The Fat Fighter System: Please select your items.
Qty. @ $49.95
Qty. @ $59.95
Qty. @ $49.95
Qty. @ $9.95
Qty. @ $29.95
Qty. @ $29.95
Qty. @ $29.95
Shipping
Standard Shipping:
1-2 items $8.95
3-4 items $10.95
5 or more items--please call for rates
FedEx Shipping:
1-2 Items 3-Day $18.00
1-2 Items Second Day $20.00
3 or more items, or for Priority Shipping, please call.
1. Billing Information
Fields with an asterick (*) are required.
First Name:
*
Last Name:
*
Daytime Phone:
*
E-Mail Address:
*
Street Address:
*
 
City / State / Zip:
*
 
2. Shipping Information
If the information is the same, leave these fields blank.
   
First Name:
  Last Name:
Street Address:
 
City / State / Zip:    
 
3. Payment Information
Payment Type:

Personal Check (by mail only)
Visa
Master Card
American Express
Discover Card

Card Number:
*
Exp.:
 /  *
Cardholder Name:
*
 
4. Send this completed form to Integrated Herbal Systems, LLC:
By mail send to:
Checks payable to:
Integrated Herbal Systems, LLC
4607 Lakeview Canyon Road #160
Westlake Village, CA 91361
   

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