EthnoBotanySource Order Form

SeekerShop online printable order form

Fill out on line, then EMAIL, or print and then MAIL in the completed order form.
If you EMAIL your form you may call in for payment if using a credit card, or you may mail in payment.
We will hold your order for you until you call or we receive payment.
You may also call and place an order.
You will receive verification on an order if you give us a way to contact you.

Mail in your order with check, money order or credit card to: Make payable to LPHS
LPHS
P. O. Box 144
Keene, Texas 76059

**LPHS ( Live Plants Herbs and Seeds )** will **appear on you credit card billing statement**
Name:	Date:
Address:
City: State:	Zip:
Email: Please include email iff you would like confirmation of shipment.

LPHS ( Live Plants Herbs and Seeds ) will appear on you credit card billing statement

Name: Date:

Address:

City: State: Zip:

Email: Please include email iff you would like confirmation of shipment.

Quantity

Item Name and Description (powdered, whole, shredded etc.)
( Feel free to copy and paste directly from the site. )

Total Cost
Remeber to account for multiple quantities.

SUBTOTAL:

LESS ANY CREDIT:

Shipping options are;
$3.85 for Priority Mail ( 2-3 days ) Not guaranteed but reliable.
Free Standard USPS Shipping: (averages out to 3-5 days)

SHIPPING:

TOTAL:

IMPORTANT: If item(s) temporarily unavailable, what do you prefer? (check one box):

1. Substitution (list choices on back of this order form)

2. Back Order (up to 6 weeks maximum, after that point we would issue refund)

3. Refund if not in stock or due to arrive soon (company check made out to the customer's name) 4. Credit to be subtracted from your next order (we will send a credit note).

**IMPORTANT: If item(s) temporarily unavailable, what do you prefer? (check one box):**
1. Substitution (list choices on back of this order form)	2. Back Order (up to 6 weeks maximum, after that point we would issue refund)
3. Refund if not in stock or due to arrive soon (company check made out to the customer's name)	4. Credit to be subtracted from your next order (we will send a credit note).

Credit card informtion must be entered by hand.
SeekerShop will appear on your credit card billing statement.

MASTER CARD VISA DISCOVER AMERICAN EXPRESS
Card number:

________ /________/ ________ /________

Exp. Date:________ /________ (Please note: your card will be charged immediately to reserve your order)

NAME AS PRINTED ON CARD:

(MUST be same as 'Ship to': name) ______________________________________________

Quantity	Item Name and Description (powdered, whole, shredded etc.) ( Feel free to copy and paste directly from the site. )		Total Cost Remeber to account for multiple quantities.





	SUBTOTAL:
	LESS ANY CREDIT:
	Shipping options are; $3.85 for Priority Mail ( 2-3 days ) Not guaranteed but reliable. Free Standard USPS Shipping: (averages out to 3-5 days)	SHIPPING:
	TOTAL: