Order Form

Ordering our our health products is quick and easy. Simply pick up the phone and call us:

Order Toll Free Please Call : 1-800-933-9581

Wholesale/Dealers: 1-800-933-9581
Fax: 1-415-461-4290

Operators are standing by 24 hours day to receive your order. Please tell the operator the Item# of the products you wish to order. For more information about an item, click on its description below. Or you may print out this web page (Print), fill in the information and fax to the number above. Thank You.

Item# Description QTY List Price Total
1500 Xiao Yao Wan
(click here for more info)
1501 Women's Precious pills
(click here for more info)
1502 Wu Chi Pai Feng Wan
(click here for more info)


Name ____________________________________________

Address __________________________________________

City _____________________________________________

State ____________

ZIP _____________

Telephone ________________________________________

E-Mail ______________________________


Method of Payment

Visa MasterCard
Check/Money Order

Credit Card Account Number

Expiration Date

Sub Total
Sales Tax ( CA 8.25%)
Add Postage & Handling Charges
Standard: $5;  
3-day AIR: $11;  
2-day AIR: $17;  
PAL format add $5.50  
Total Amount

Signature ____________________________________________