Natural Body Remedies Order Form

Mail orders usually ship within 24-48 hours (Mon-Fri). Every order is a RUSH order. Please print out this form and mail it along with your check or money order in US funds to:

Natural Body Remedies
1566 San Pedro Street
Sparks, NV 89436

Name:_____________________________________________________
Address:_____________________________________________________
City:_______________________________ State:______ Zip:___________
Phone: _______________________  E-mail: ________________________

Please include your email address so we may send a confirmation email and a tracking number for the shipment of your order. We will not share or sell any of your information.

ITEM Price Quantity Total
Natural Itch Remedy 8oz bottle $14.25    
Two Natural Itch Remedy 8oz bottles* $28.00    
Assuage Anal Itch Remedy 4oz bottle  $13.25    
Two Assuage Anal Itch Remedy 4oz bottles*  $26.00    
Two Pure Bath & Beauty Soaps - 3oz bars* $5.36    
One Lemongrass Soap- 4oz bar $4.98    
Pure Shampoo 8oz bottle $6.98    
Le Crystal Natural Deodorant $5.98    
Fresh Aloe Soap $4.98    
Pure Natural Lotion (Fresh Scent) $5.98    
Pure Natural Lotion (Unscented) $5.98    
Other      
Shipping & Handling USA & Canada - $5.95 first item plus $1.70 each additional item. *Two-item order specials count as one item.  
Nevada Residents Add Sales Tax 7.725% on product price (not shipping)  
Total Amount Enclosed  
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