NATURAL REMEDIES | Danearth Herbal Farmacy

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Danearth

Herbal Farmacy

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Custom Product Request Form

Please take a moment to fill out the form.

First Name

Last Name

Email

Phone Number

Please choose from the following options for your uniquely formulated blend

Sleep Mix

Immunity

Tonic

Pain

Headache

Menopause

Cold and Flu Support

Hayfever

Memory

Recovery

Detox

Cough

Calm

We will consult with you via email to ensure the formula meets your needs and that there are no contraindications with any other medications or supplements. Please ensure you respond to this email, otherwise we will not be able to process your order.

Thanks for submitting!

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