BIGHORN BOTANICALS, INC

                        PO Box 133   Noxon, MT  59853     PH: 406-847-5597   FX: 406-847-5502   
Toll Free:   888-847-1223    Email:  nox5597@blackfoot.net

www.bighornbotanicals.com

RETAIL ORDER FORM
 

DATE:  ________________________ PH: _________________________________________________


Cell:___________________________ Email: _______________________________________________

NAME: ___________________________________________REFERRED BY: _____________________

ADDRESS: ___________________________________________________________________________

 
VISA, MASTERCARD  #____________________________________________________

EXP DATE: ________________ CODE # __________________



Montana YewTip Products

(Taxus brevifolia)

QUANTITY                                                                                                                             TOTAL


__________TEA, loose,  1 lb bag ... .. @ $   46.50= _________________

 

__________TEA BAGS,   24 per pkt ... @      10.45 = _________________

 

__________TINCTURE,  Fresh 1:1.7
______________2 oz  bottle w/dropper ....@      25.50 = _________________

______________4 oz bottle ..@      42.50 = _________________

_____________16 oz  (1 pint)  ......@   146.00 = ________________

 

__________OIL,  Fresh 1:1.7

_____________2 oz  bottle w/dropper ..... @      31.50 = __________________

_____________4 oz bottle @    60.25 = _________________

 

__________SALVE, 1 oz  jar ...@    14.75 = _________________

__________SALVE, 2 oz jar ....@    27.00 = _________________

__________SALVE, 4 oz jar ....@    48.00 = _________________

 

__________CAPSULES, 180 per bottle/ 330 mg ...@     46.50 = _________________

 

__________ SOAP, 4 oz bar ....@      8.50 = _________________

 

__________LOTION, 5 fl oz dispenser bottle (Natural) ....@     16.75 = _________________
 

__________LOTION, 5 fl oz dispenser bottle (Floral Fragrance)......@    16.75 = _________________

 

 

__________ LIP BALM, tube ...@      5.25=  ________________   

 


SUB-TOTAL   $_________________


Shipping  $_________________


TOTAL   $ ________________