Health Synergy Order Form

HEALTH SYNERGY ORDER FORM

You can buy products online (credit card) directly from the products page, adding to cart and checking out. For larger quantities, if you are having difficulties online (e.g. not sure of international postage) or if you would like a quotation before buying, however, you may also complete the form below and we will send you a quotation / invoice by email.

Order Reference ID: Please create your 8-digit order reference consisting of your initials (first & surname - FS) and order date (YYMMDD). Please use this reference ID when identifying your order and payment.

DELIVERY ADDRESS	BILLING ADDRESS	(change if different from delivery address)
First Name *	If any aspect of your billing address or details are different from you delivery details, please enter all the different details here (box on right)	same as delivery
Surname *
Address
Town / City
County / State
Post Code / Zip
Country / Nation
Email Address *
Contact Telephone *

* Required fields. Please make sure your email address is entered correctly, as otherwise the form will not transfer properly.

Product Order:

HERBAL GELS	Quantity	HERBAL GELS	Quantity
Arnica Gel		Calendula Gel
Comfrey Gel		Evening Primrose Gel
Green Tea Gel		Lavender Gel
Neem Gel		Myrrh Gel
Tea Tree Gel		Witch Hazel Gel

CANDLES	Quantity	CANDLES	Quantity
Faith Candles		Guana Candles
Jasmine Candles		Lemon Grass Candles
Mandarine Candles		May Chang Candles
Musk Candles		Strawberry Candles
Vanilla Candles		Ylang Ylang Candles

Payment

There are 3 ways you can pay for your order. Please check the method you wish to use if you go ahead with the order.

	Credit card (Paypal)	An invoice will be emailed which has a direct secure link to Paypal payment site
	Bank Transfer (BACS)	(for orders under £100 there is a £6 UK bank charge for orders outside the UK)
	Cheque by post	International cheque, must be in UK £ Stirling, payable to 'Transcultural Synergy'

Other

Mode of Shipping: UK 1st class UK 2nd class Europe World Zone 1 World Zone 2

Any special comments or notes:

Please reconfirm your email address *

Place Order
Please make sure your email address is entered correctly, as otherwise the form will not transfer properly.

To reset, press To return to home page click here

After submitting the order you will receive an email confirming your order qith a quotation/invoice based on the order quantities, country and method of payment. You are under no obligation to proceed with the order, but if you wish to go ahead please respond to the email and make payment arrangements.

Orders will be despatched as soon as the funds are cleared. All payments are to be made in UK Stirling £. No orders will be despatched without payment.

As a guideline for international buyers (to get a price idea in your currency), please refer to the Currency Converter

THANK YOU!

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