PURCHASE ORDER FORM
100% Natural Ayurvedic & Herbal Products

Name    Email 
Mailing Address 

Tel 
Item Name Qty

Unit Cost

Total Amount
RASAYANA PRASH pack 350.00

HERBAL FACE PACK pack 140.00

HERBAL HAIR CONDITIONER pack 135.00

HERBAL BATH POWDER pack 120.00

MEMORY ENHANCER BRU pack 150.00

CELESTIAL BRU pack 150.00

Sub-Total 

Please choose a delivery option:  VPP   Private Courier Service
* Additional charge Rs. 40.00 (up to 1 kg.) for delivery in India.
* There shall be free delivery for the order of Rs. 1000.00 or above.
* Above rates and delivery charges are effective in India only.

  

Note: For wholesale prices, Please contact us at
Chakrapani Ayurveda Clinic & Research Center,
A - 33,  Prabhu Marg, Tilak Nagar, Jaipur-302004, India. 
Fax : +91-141-2624003        Phone: +91-141-2620746

E-mail: info@ayurvedahelpline.com


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