TCM FormulasTM
Personalized Chinese Herbal Formulas

 
 

Student Powder Order For Self

4 Easy Steps to Order Herbs from TCM Formulas TM

 
Step 1: Who and Where
 
Intern:
Your Phone #:

Formula #:
 
(For quicker refills)
 
If you are ordering a refill, do not use this form;
instead, consult the help screen for quicker, easier methods.
   
 
Shipping Information
Street Address
City
 
Delivery to Me ($4.95)
Pickup at PCOM SD
State
Zip code:
     
 
Step 2: Duration and Daily Dosage
 
  The formula should last: days  
  The daily dosage is:

scoops

times per day
 
which equals a total of:
g per day (automatically calculated).
     
 
 

Step 3: Herbal Formula

  • Enter the original herbal formula (use as many spaces as you need and leave the rest blank) with their original dosages
Herb Formula Name: ( for quick refills!)
       
Herb
Dosage
Converted
Dosage
1
g
2
g
3
g
4
g
5
g
6
g
7
g
8
g
9
g
10
g
11
g
12
g
13
g
14
g
15
g
16
g
17
g
18
g
19
g
20
g
21
g

Total grams
g
     
     
 

4. Grand Total & Order

 
 
Total Formula Cost:
$

If you change anything, be sure to click "Grand Total" again before ordering.

 
Shipping Charge:
$
  Taxes
Non-California Resident or Californian with Resale License
California Resident %

$
  Click for

$

 
 
 
Double check the whole form, and then click Order to email your order:
Your mail program may ask for confirmation- go ahead and send us the email.
You will see a confirmation window pop-up; check to see if it opened under this window.
 
 
 
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Message Center: (866) 206-9069 x 5284