Export Order Form

**Distributor Minimum Purchase $1000 **Wholesaler Minimum Purchase $150

Name:
Company:
Address:
City:
State:	Zip:
Phone:
Email:
Fax:

Credit Card Type:
Credit Card #:
Exp Date:
CC Verification #:	(The verification number is a 3-digit number printed on the back of Visa/MC/Discover cards. On American Express cards it is the 4 digit number on the front.)

Product
Number

Qty Ordered

Product Description

Sugg.
Retail

Whole Sale
Prices

Distributor
Price

Total $

1001

Swedish Bitters 20 ML
(0.68 oz.)

2.74

1.80

1.35

1002

Swedish Bitters 100 ML
(3.38 oz.)

12.64

8.33

6.25

1003

Swedish Bitters 250 ML
(8.45 oz.)

25.84

17.04

12.79

1004

Swedish Bitters 500 ML
(16.9 oz.)

42.89

28.28

21.22

1005

Swedish Bitters 1000 ML
(33.8 oz.)

67.09

44.26

33.20

1103

Swedish Bitters
Capsules 120's

36.21

21.73

16.30

1105

Sm. Flowered Willow Herbs
Capsules 60's

25.22

15.13

11.35

1106

Swedish Bitters
Capsules 60's

21.53

12.92

9.69

1203

Swedish Herbs
90 gr. (3.15 oz.) USA

27.50

16.50

12.38

1302

Calendula (M.Gold) Ointment
100 gr. (3.5 oz.)

17.00

10.21

7.66

1401

Calendula (M.Gold) Cream
114 gr. (4 oz.)

17.00

10.21

7.66

1502

Marigold Soap
3.5 oz. Bar

2.95

1.77

1.33

1503

Chamomile Soap
3.5 oz. Bar

2.95

1.77

1.33

1504

Lavender Soap
3.5 oz. Bar

2.95

1.77

1.33

Please let us know where you heard about Pronatura,
and in return we will send a FREE GIFT with your order.

If Other, please specify:

Pronatura, Inc., 5420 Newport Drive #52, Rolling Meadows, IL 60008
Toll Free 800-555-7580 Tel: 847-718-0899 Fax: 847-718-0988