Antiherpes.com  · Money Order Form

 

 

 

 

Please print out this form, fill it in, and post with the money order to:
Antiherpes.com
501 Silverside Road, Suite 105, Wilmington, DE, 19809, USA
We do not accept cash, please ensure that you only send money orders.

First Name:

 

Surname:

 

Shipping
Address:

 

City:

 

State:

Zip Code:

Country:

Telephone:

  

Fax:

 

Email:

                                                           

Please double check the email address. We need it to send a confirmation of the order.


Please supply me with the following Antiherpes Remedies:
Please note that 1 unit consist of a of a 4 weeks supply.

Units

Remedy

Price per unit in US$

Totals in USD$

Super H Ointment

$59.95

 


Please choose a shipping method

USA Shipping Methods (Shipped from the US)

 

 

Total

USPS PRIORITY MAIL Shipping delivery within 3-10 days

$5.00

 

UPS Ground Shipping delivery within 3-6 days

$7.00

 

UPS 3 day shipping delivery within 2-5 days

$16.00

 

UPS Second day shipping delivery is 2 Business Days

$22.00

 

UPS Next Day shipping is 1 business day.

$40.00

 

International (Worldwide) Shipping methods

USPS delivery within 7-21 days

$12.50

 

 

 

Remedies Total

 

Shipping Cost

 

                                                                                 Total    USD  $