OM-CHI Herbs

Secure Order Form

This form may either be submitted through a secure transaction server here on line or you may print it out and mail it to us.

Note: Using the back button on your browser will reset this form and delete all information you've added. To correct mistakes in your order form highlight the word and delete.

Catalog 
Number
Qty Description of Product Unit 
Price
Total
1
2
3
4
5
6
7
8
9
10
SUBTOTAL

S & H: Add $7.00 First 1 lb.,  $4.00 each lb thereafter priority mail in USA*

TOTAL

* (Global priority mail is $20.00 for Canada and $25.00 for the rest of the world for the 1st lb and $15.00 per lb for each lb over the first.)

Name:
Street:
City:
State or Province:
Zip code or Country: 

We will contact you for payment information

Your Phone Number:
Your Email address:

This is a secure transaction.

We'd like to hear from you. Please include any experiences you'd like to share with us here.

    Close order form

These products are not intended to cure, prevent, treat or diagnose any disease.
The appropriate use of these products is the sole responsibility of the user or the purchasing party.

OMCHI Herbs  
PO Box 5352  
Eugene, OR 97405   
  Phone: 541/744-5651
  Fax: (541) 505-7651
  info@omchiherbs.com