American Pharma
Mail and Fax Product Order Form
Please circle selected products and complete the totals down the right hand column.
Thank you for shopping American Pharma
Learn more about our fine line of Herbal Health and Lifestyle Products.
| HERBAL ENHANCEMENT: | 1 Month |
2 Month |
3 Month |
4 Month |
6 Month |
12 Month |
TOTAL |
| OptimRx - Herbal Penis Enlargement Pills | $59.99 |
$109.95 |
$159.95 |
$200.00 |
$300.00 |
$575.88 |
$ |
| OptiPatch - Penis Enlargement Patch | $59.99 |
$109.95 |
3+1 Free: $159.95 |
$300.00 |
$575.88 |
$ | |
| Majestic - Herbal Breast Enhancement Pills | $49.95 |
$89.95 |
$129.95 |
$160.00 |
$240.00 |
$455.88 |
$ |
| Lush - Breast Enhancement Patches | $59.99 |
$109.95 |
$159.95 |
$199.99 |
$249.99 |
$499.98 |
$ |
| Eden - Herbal Viagra for Women | $49.95 |
$89.95 |
$129.95 |
$160.00 |
$240.00 |
$455.88 |
$ |
| Eros - Herbal sex-enhancer Men | $49.95 |
$89.95 |
$129.95 |
$160.00 |
$240.00 |
$455.88 |
$ |
| OptimOil - Erection Enhancing Oil | $59.95 |
$109.95 |
$159.95 |
$200.00 |
$300.00 |
$575.88 |
$ |
| Trima - Breast Reduction for Women | $69.96 |
$128.96 |
$183.87 |
$234.67 4+1 Free |
$299.96 |
$549.92 |
$ |
| TrimanX - Breast Reduction for Men | $69.96 |
$128.96 |
$183.87 |
$234.67 4+1 Free |
$299.96 |
$549.92 |
$ |
| HERBAL REMEDIES/SOLUTIONS: | |||||||
| Serenitee - PMS Solution | $29.99 |
$54.95 |
$79.99 |
$100.00 |
$150.00 |
$300.00 |
$ |
| Regain - Hair Growth | ! |
! |
$129.99 |
! |
$240.00 |
$455.88 |
$ |
| Refresh - Acne Control | $39.99 |
$74.95 |
$109.95 |
$140.00 |
$210.00 |
$395.88 |
$ |
| Gen-Rx - Cold Sore Simplex | $39.99 |
$74.95 |
$109.95 |
$140.00 |
$210.00 |
$395.88 |
$ |
| DreamEasy - Insomnia Sleep Aid | $39.99 |
$74.95 |
$109.95 |
$140.00 |
$210.00 |
$395.88 |
$ |
| Hemotrol - Hemorrhoid Treatment | $49.97 |
$93.97 |
$138.97 |
$159.95 |
$197.97 |
$395.94 |
$ |
| Date: | Time: | ***ALL PRICES ARE US DOLLARS*** | |||||
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| Type: | Shipping USA & Canada International |
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| Apt No: | Please send checks/money orders payable to: CustomeCare@HerbalHealthline.com |
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