Women's Natural Health SECURE Order Form

Phone (day):
Phone (evenings):
Your Email address:
State (Province):
Zip (Postal Code):

I would like to order the following item(s):

Item# 3600: Endo-Fem with PMS Plus: $19.75 Each
Item# 3700: Meno-Fem herbal formula for hot flashes: $19.75 Each

Shipping & Handling ($2.00 per item ordered): $
Total Order: $

Payment Method:
Card Number:
Expiration Date:
Name as it appears on card:
New Customer?yes: no:

NOTE: The charge will appear on your credit card statement under the name "Women's Natural Health".

Comments/Special Instructions:

NOTES: Your first bottle of our product is considered a trial order and is guaranteed to bring noticeable results if used as directed. If not fully satisfied, call us immediately and return the empty bottle and/or portion to us for a full refund.
*Each bottle contains 90 tablets, or a one month supply if taking the recommended 3 tablets per day.
We have quantity discounts available when you reorder. The order form will be included with your package. We will automatically apply quantity discounts to orders for more than one bottle. For orders outside the US and Canada, please call or email us for shipping prices. Retail stores may also inquire for information by calling our toll-free number below. Due to a large volume of calls and time zone differences, you may reach a recorded message when you call us. Please leave a detailed message so that we can answer your inquiry.
Thank you.

You may also print out this order form and mail or fax it to:

Women's Natural Health
350 Ward Avenue #106-555
Honolulu, Hawaii 96814-4091
Phone: 1-800-718-7777
Fax: 1-800-772-3771
E-Mail: info@endometriosis.com