Tel (303) 554-7141 HEALING TOUCH VETERINARY Fax (303) 499-8626

Make checks payable to: ORDER & INVOICE FORM 6/05 Patient__________

Dr. Turie Norman, D.V.M. Order ________________ Notes___________

7856 Baseline Road S & H ________________ _______________

Boulder, CO 80303 Date____________

Please send a copy of this invoice with payment TOTAL ________________ Payable Upon Receipt

Send Order TO:____________________________________________________________________

Qty	REMEDY	Qty	REMEDY
	(Please list Flower Essence, up to 7 per Remedy)
			DIET SHEET
			(MUST COMPLETE FOLLOWING)
			Species
			Breed
			Sex
			Intact
			Weight (Normal, Under, Over)
			Age
			Healthy or Health Problems (if so list)
			§
			§
			§
			§
			Please specify if you are requesting
			Raw Diet Sheet - $7.50 plus $2.50 S & H = $10.00
			Cancer Diet Sheet - $7.50 plus $2.50 S & H = $10.00
			When purchasing either Diet Dr. Norman will includes
			Follow up phone or e-mail consultation.

Shipping & Handling:

All products and information is mailed USPS, Priority (First Class) Mail

Bach Flower Remedies are $25.00 per bottle with $8.00 S & H for a total of $33.00

When ordering multiple bottles of Remedies, please call the office for specific shipping and handling fees.

Refer to the Bach Flower Listing located at the Store, you can select up to 7 flower essence per remedy.