YOGA HERB AND ACCESSORIES ORDER FORM
Please fill out this form online or print and send this form to submit. Someone will contact you shortly to complete your order.
| Name | ||
| Street Address | ||
| City | ||
| State/Province | Zip | |
| Work Phone | ||
| Home Phone | ||
| Please check items you wish to order. | ||
| TRIPHALA | $20.00 per bottle | |
| ASHWAGANDHA | $20.00 per bottle | |
| SHATAVARI | $20.00 per bottle | |
| WOMEN’S SUPPORT | $20.00 per bottle | |
| STRESS EASE | $20.00 per bottle | |
| MENTAL CLARITY | $20.00 per bottle | |
| BLOOD CLEANSE | $20.00 per bottle | |
| HEALTHY HAIR | $20.00 per bottle | |
| JOINT SUPPORT | $20.00 per bottle | |
| TRIM SUPPORT | $20.00 per bottle | |
| TRIKATU | $20.00 per bottle | |
| TRIPHALA GUGGULU | $20.00 per bottle | |
| LAVENDER & SAGE SOAP | $6.50 each | |
| SANDALWOOD SOAP | $6.50 each | |
| NETTI POTS | $15.00 each | |
| TONGUE CLEANER | $7.00 each | |
