Instructions:
Print out this page to use as your order form. Don't forget to include quantities and complete descriptions (including size) as well as shipping information. The prices listed below for shipping and handling apply only within the continental United States. If you live outside the continental United States, please contact us.

Your check or money order must be included with this order form. Please do not send cash. You will receive your order within 2 weeks from when we receive this form and your payment.

To download this document as an Microsoft Word document, click here

Shipping Information:

Name:	Phone:
Address:
City:	State:	Zip:
Email address:

Order Information:

QUANTITY	DESCRIPTION (Including size, if applicable)	PRICE EACH	TOTAL
Shipping and Handling Chart Purchase Price: Add: $ 0.00 to $ 9.99 $4.50 $10.00 to $ 24.99 $5.50 $25.00 to $ 49.99 $8.50 $50.00 to $ 99.99 $9.50 $100.00 and up-shipping is FREE! Product Total Shipping and handling(see chart at left) Subtotal Washington residents add 8.6% sales tax GRAND TOTAL

Return with check or money order to:
Healthy Homes Nutrition
5408 S. Bates Road
Spokane, WA 99206

(509) 953-5968
Email: info@healthyhomesnutrition.com

An email confirmation of your order will be sent. We appreciate your business!