HRBLGY ORDER FORM
Hi there! Welcome to our *temporary* order site. Please fill out this form in its entirety and we will fulfill your order as soon as possible. After you fill out the form, we will request your total from you via cashapp/venmo. We will start your order after funds are received.

All information will be secure.

Please allow 2-5 days for processing.
All orders will be shipped using USPS Priority Mail ($8).

Please email us with any questions - heal@hrblgy.com

~Heal Self, Heal Others~
Hrblgy Team
Section 1: Contact Details
Please fill out all details below
(Examples):
Full Name: John Doe
Email: johndoe@gmail.com
Complete Shipping Address: 123 W Healers St, Chicago, IL, 60608
Name: *
Email Address: *
Complete Shipping Address: *
Section 2: Order Details
Please select which products you would like to order below.
SACRED PRODUCTS - ORDER:
Single Herb (Certified Organic/Wild Harvested) - ORDER:
Captionless Image
2oz
4oz
6oz
8oz
Lavender Flowers
Skullcap Herb
Spearmint Leaf
Ashwagandha Root
Yerba Santa Leaf
Elder Flower
White Willow Bark
Black Cohosh Root
Marshmallow Root
Licorice Root
Lemon Balm Herb
Pau d'Arco Inner Bark
Hibiscus Flower
Clear selection
Section 3: Payment and Shipping
Please list your preferred payment method and acknowledge our shipping cost.
Please list your Venmo username or Cashapp tag: *
I understand that I will be paying $8 for shipping. *
Enter Discount Code if you have one:
Submit
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