Birch Moon
H e r b a l s

PO Box 513
Shutesbury, MA 01072
413-259-1114

PRINT THIS FORM ~ FILL OUT YOUR ORDER, AND MAIL TO:

Birch Moon Herbals, P O Box 513, Shutesbury, MA 01072
Make checks payable to Birch Moon Herbals

Ordered by Ship to (if different)

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MA Sales tax is for orders bing shipped within MA only.

Payment: Please send a check with your order. Allow 3-5 days for checks to clear, then order will be shipped. We do not yet accept credit cards. See PayPal option.

Shipping & Handling: Minimum charge is $5.00. Otherwise equal to 10% of your order. (Subject to adjustment.) Shipping is free on orders over $200 sent to one location.