Health Care Books | Health Care Products| Living Water System | Ordering Information | Order Form

Order Form - Print Version

You can safely enter your entire credit card number via our secure server, which encrypts all submitted information with a commerce-grade, 128-bit, key during transmission. This is the same security level used by banks and businesses around the world.

You may also print out this form and mail or fax your order with payment to:

Bubbling Spring Holistic Health Center, 9224 Manchester Road, Silver Spring, Maryland 20901-3341,

Fax: 301-587-1244.

 

* Name:
* Address:

* City:
* State:
* Zip:
Day Phone:
Evening Phone:
Fax Number:
* E-mail:
 

Note: Please press the "tab" key for your sub-total
to calculate.

Books 
Quantity
Price
Healing with Whole Foods $35.00
Products     
Aqueous Liver Extract $21.00
Cat's Claw $20.00
ReHydration $21.00
Sub-Total
Shipping and Handling
(see below)

$20.00 to $34.00.........$5.40
$34.01 to $50.00.........$7.40
$50.01 to $75.00.........$8.40
$75.01 to $100.00.......$12.20
$100.01 to $150.00......$13.00
$150.01 and over........15% of order

UPS 2nd Day Air...add $20.00
UPS Next Day Air..add $35.00

 
MD Residents add 5% sales tax
* Total
 

 Method of Payment

Check (made payable to Bubbling Spring) Check Number
MasterCard  Visa 

Cardholder's Name

Account No.


Expiration Date:

Your order will not be complete until payment has been received. Please mark mailed order forms as COPY if faxing your order.

Please Fax your order to 301-587-1244

Questions?    Call us at 301-587-1177

Home | About Us | Products | Services | Treatments | Articles | New Client Info | Events | Contact Us


© 2006 Bubbling Spring Wellness All rights reserved.
(301) 587-1177
www.bubblingspring.com