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Evergreen Quick Order Station

This Quick Order Form is for practitioners who have existing accounts with Evergreen Herbs. Please fill out the order form below, and click on Submit after you finish. You are also welcomed to e-mail your order to sales@evherb.com. Thank you for your order!

If you are a doctor who wish to order from us but do not have an account yet, please email sales@evherb.com or fax us (626-810-5534) the following information: your name, address, phone number, license type, license number and a copy of your license. Upon verification and completion of account set up, we can then process your order for you.

If you are a patient who wish to order herbs, please consult your herbal practitioner on what is the best formula for you. We do not sell products directly or establish accounts for patients. However, we will be more than happy to refer you to practitioners in your area. Please click here to fill out a referral request form.


BILL TO: SHIP TO (IF DIFFERENT):
*Name: Name:
*Street 1: Street 1:
Street 2: Street 2:
*City: City:
*State: State:
Zip: Zip:
*Country: Country:
*Phone: Phone:
*Email: Email:
SHIPPING:
  
PAYMENT:
Type Exp Date: /
Credit Card # Billing Zip Code:


Please indicate the quantity, capsules/granule and item# and/or product name.

QTY. ITEM# POWDER CAPSULE NAME OF THE PRODUCT


To add additional herb products, books, or medical supplies, simply type it in the box below.








Contact Us

  Evergreen Herbs & Medical Supplies, LLC (California office)

17431 East Gale Ave
City of Industry, CA 91748
Tel: 626-810-5530     Toll-Free Tel: 866-473-3697 (GREEN97)
Fax: 626-810-5534    Toll-Free Fax: 866-473-3698 (GREEN98)
Email: sales@evherb.com