To make a purchase please fill in the form below:
*
Required Items
Your name
*
Your email address
*
Repeat email address
*
Telephone No.
Fax No.
Postal Address
*
Post Code
*
Country
*
I wish to purchase:
Quantity
Product
Cost incl. Postage
0
1
2
3
4
5
6
7
8
9
10
Essiac Herbs 20g bag
£10 per bag
£12 per bag
( Delivery Outside Europe Included )
1
0
1
2
3
4
5
6
7
8
9
10
Essiac Herbs 60g bag
£18 per bag
£21 per bag
( Delivery Outside Europe Included )
Method of Payment:
Bank Transfers
Sterling Area Cheque
Make Sterling Cheques payable to:
Eva Jungfalk Down
Make Payment by Credit Transfer to:
BANK ACCOUNT DETAILS:
Lloyds TSB Bank plc
Kingsthorpe Branch
64 Harborough Road
Kingsthorpe
Northampton NN2 7SM
Account Holder: Eva Jungfalk Down
Branch No: 30 -14 - 47
Account No: 1013 5560
Bank Charges on international transactions to be borne by the customer
Delivery Address ( If different from that given above )
Address
Delivery Post Code
Delivery Country
Any other comments: