ORDER FORM

TOTAL HEALTH ASSOCIATES
774-D S. Chesterfield Rd.
Columbus, OH 43209-2683
Sales Mgr. - Tom Harrelson
Sales & Info/614-237-2590

Name:                                                                                   Date:
Address:
City:                                                               State:                                ZIP:
Country (if applicable):                               Email Add.:
Phone (Day.):                                               Phone (Eve.):

NOTE:  Before you place your Order, please read and understand the GENERAL TERMS & CONDITIONS, plus the NOTICE & DISCLAIMER. If the TOTAL Amount of your Order is LESS than $30 and you send me a Personal Check, Company Check &/or M.O. or your Order is $30 or MORE and you send me a UNITED STATES POSTAL SERVICE Money Order (NOT Bank or ....), then your Order will be shipped the Next Day, after I receive it, unless otherwise notified. Please send your Order by Priority Mail/Signature Confirmation for Orders, which amount to $100 and over. If the TOTAL Amount of your Order is $30 or MORE and you send me a Personal Check, Company Check, Cashier's Check &/or a regular M.O., then your Order will be shipped within 3-5 Business Days, unless otherwise notified. Since I'm NOT ABLE to accept Charge Cards or C.O.D. Orders at this Time, you can take 10% or MORE OFF from the Retail Price (see Price List), unless you're purchasing a REFURBISHED Unit.
IMPORTANT NOTICE: If your Healing Tools are to be shipped to a location outside of the U.S.A., then please send an email to tharrels@hotmail.com or call U.S. Country Code (00- or 0011-) + 1-614-237-2590 to obtain MORE details about placing your order with me. "THANKS" for your Order!!

YOUR NOTE:

QTY.
ITEM NAME/DESCRIPTION
UNIT EA./$
TOTAL/$
       
       
       
TOTAL Amount - TOTAL/$
SUBTOTAL
 
Subtract Discount (see PRICE LIST)
DISCOUNT
 
TOTAL Amount
TOTAL