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BIGHORN BOTANICALS, INC.

25 Bighorn Lane Noxon, MT 59853 PH: 406-847-5597 FX: 406-847-5502

Toll Free: 888-847-1223 Email: nox5597@blackfoot.net

www.bighornbotanicals.com
RETAIL ORDER FORM

DATE: ____________________ PH: _______________________________FX: ____________________

Cell:___________________________________Email: ________________________________________



NAME: ______________________________________ REFERRED BY: _________________________
ADDRESS: ___________________________________________________________________________

VISA or MASTERCARD # _____________________________________________________________

EXP DATE: ________________CODE # __________________

Montana Specialty Tinctures

Formula” indicates a multi-herb tincture. All others are single herb tinctures.

Natural ingredients sustainably wildcrafted or grown without chemicals in NW Montana.

QUANTITY________________________________________________________________TOTAL____

SYNERGY-7x FORMULA (Fresh 1:1.5)

(Previously offered as Montana Cold/Flu Formula)

__________2 oz bottle w/dropper ….………………………………………….@ 22.50 = ____________


__________4 oz bottle ………………………………………………………….@ 43.00 = ____________

__________16 oz bottle (1 pt) ……….……………….………………………..@ 160.00 = ____________

CANDIDA FORMULA (Fresh 1:2)

__________2 oz bottle w/dropper ……………………………………………..@ 24.50 = ____________

__________4 oz bottle ………………..………..……………………………….@ 47.00 = ____________

__________16 oz bottle (1 pt) …….…………………….…………………….. @ 160.00 = ___________
RESPIRATORY FORMULA (Fresh 1:1)

__________2 oz bottle w/ dropper …………………………………………….@ 22.50 = ____________

__________4 oz bottle ……………. …..……………………………………….@ 43.00 = ____________

__________16 oz bottle (1 pt)…………………………………………………..@ 160.00 = ____________
BLACK ELDERBERRY (Fresh 1:1) Sambucus nigra

__________1oz bottle w/dropper………………………………………………@ 11.00 = ____________



__________4 oz bottle ……………….…………………………………............@ 39.00 = ____________

__________16 oz bottle (1 pt)……….………………………………………….@ 140.00 = ____________


DEVIL’S CLUB STEM w/BARK (Fresh 1:2) Oplopanax horridus


__________1 oz w/dropper… ……….…………………………………………@ 9.50 = ____________

__________4 oz bottle …………………………………………………….........@ 36.00 = ____________

__________16 oz bottle (1 pt)..…………………………………………………@ 140.00 = ____________


PRODUCT INFORMATION ON BACK SUB-TOTAL $ ________________


Shipping _______________

SHIPPED: ___________________CARRIER:________________ TOTAL $ ________________

(Office use only: PTS ___________PTI ____________________ )

RETAIL ORDER FORM
DATE: ________________________ PH: _____________________FX: __________________

Cell: ____________________________Email: _______________________________________

NAME: _______________________________________REFERRED BY: ________________
ADDRESS:____________________________________________________________________

VISA 0r MASTERCARD # ______________________________________________________

EXP DATE: _________________CODE:____________________
Montana Specialty Tinctures & Salves - page 2



QUANTITY TOTAL
ECHINACEA FLOWER TOP (Fresh 1:2) Echinacea purpurea

_____________1 oz bottle w/dropper ……………………………………………………………...@ 9.50 = ______________

_____________4 oz bottle …………………………………………………………………………..@ 36.00 = ______________

_____________16 oz bottle (1 pt) …………………………………………………………………...@ 140.00 = ______________
LOMATIUM ROOT (Fresh 1:2) Lomatium dissectum

_____________1 oz bottle w/dropper ……………………………………………………………….@ 9.50 = _______________

_____________4 oz bottle…………………………………………………………………………….@ 36.00 = _______________

_____________16 oz bottle (1 pt) ………………………………………………………………….. @140.00 = _______________
RED ALDER CATKINS (Fresh 1:1) Alnus rubra

_____________1 oz bottle w/dropper ……………………………………………………………….@ 9.50 = _______________

_____________4 oz bottle …………………………………………………………………………...@ 36.00 = _______________

_____________16 oz bottle (1 pt) …………………………………………………………………..@ 140.00= _______________
ST. JOHN’S WORT FLOWER TOP (Fresh 1:1) Hypericum perforatum

_____________1 oz bottle w/dropper ……………………………………………………………… @ 9.50 = _______________

_____________4 oz bottle ……………………………………………………………………………@ 36.00 = _______________

_____________16 oz bottle (1 pt) …………………………………………………………………. @ 140.00= _______________
WHITE BIRCH BARK (Dry 1:4) Betula alba

_____________1 oz bottle w/dropper ……………………………………………………………....@ 11.50 = _______________

_____________4 oz bottle …………………………………………………………………………...@ 44.00 = _______________

_____________16 oz bottle (1 pt) …………………………………………….................................@ 160.00 = ____________
WILD HUCKLEBERRY (Fresh 1:1) Vaccinium globulare

_____________1 oz bottle w/dropper ……………………………………………………………….@ 9.50 = _______________

_____________4 oz bottle ……………………………………………………………………………@ 36.00 = _____________­­__

_____________16 oz bottle (1 pt) …………………………………………………………………..@ 140.00 = _______________

Montana Specialty Salves (ointments)
CANDIDA SALVE - external use only

_________ 1 oz ……………………………………………………………….@ 17.00 = ______________
WHITE BIRCH BARK SALVE– external use only

_________1 oz ………………………………………………………………...@ 12.50 = ______________

SUB-TOTAL $________________

PRODUCT INFORMATION ON BACK Shipping ________________

TOTAL $ _______________

SHIPPED: ___________________CARRIER: _______________

Office use only: PTS _____________ PTI ________________________

BIGHORN BOTANICALS, INC.

25 Bighorn Lane Noxon, MT 59853 PH: 406-847-5597 FX: 406-847-5502

Toll Free: 888-847-1223 Email: nox5597@blackfoot.net

www.bighornbotanicals.com
RETAIL ORDER FORM
DATE: ______________________ PH: _____________________________FX: __________________

Cell: __________________________________ Email: _______________________________________


NAME: _______________________________________ REFERRED BY: _______________________

ADDRESS: __________________________________________________________________________

CONTACT PERSON: ______________________________ REFERRED BY:____________________

VISA or MASTERCARD # ___________________________________________________________

EXP DATE:_________________CODE # ________________

Montana Herb Tea Bags

Herb teas have been used for centuries to boost the immune system, relieve stress, improve digestion, combat inflammation and promote sleep. BLENDS contain more than one herb. SINGLES contain one herb. All are made with fresh herbs, sustainably harvested from the wild or farmed without chemicals in NW Montana. Zip-loc, re-sealable food-grade packaging, protected from light & air.


QUANTITY ___ TOTAL



ECHINACEA with a hint of Mint (Blend – multi-herb)

__________ Pkt of 24 bags ……………………………………………@ 8.50 = ___________


CANDIDA (Blend - multi-herb)

__________ Pkt of 24 bags ……………………………………………@ 10.50 = ___________
RESPIRATORY (Blend - multi-herb)

__________ Pkt of 24 bags……………………………………………. @ 10.50 = ___________
HAWTHORN BERRY – (Single - Crataegus columbiana)

__________ Pkt of 24 bags …………………………………………….@ 8.50 = ___________
HORSETAIL – (Single - Equisetum arvense)

__________ Pkt of 24 bags …………………………………………… @ 8.50 = ___________

NETTLE LEAF – (Single - Urtica dioica)

__________ Pkt of 24 bags …………………………………………… @ 8.50 = ___________
SPEARMINT LEAF – (Single - Mentha spicata)

__________ Pkt of 24 bags ……………………………………………..@ 8.50 = ___________


SUB-TOTAL $ _________________

PRODUCT INFORMATION ON BACK Shipping _________________

SHIPPED: __________________CARRIER:_________________ TOTAL $ _________________



(Office use only: PTS ___________ PTI ____________________)


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