Order Form

Twelve Corners - The Good Herb Company

Please note: This form is for use by those who prefer to order by fax or mail.
If you prefer to order online, click on the store icon below:

Qty Item Size Price Total

Prices do not include shipping. Please call for quote for shipping.


Merchandise Total
TN Residents: 9.25% Sales Tax

Name: Phone:
City: State: Zip:

Please note: if using a credit card, the above information must match the address where the credit card bill is mailed. If shipment is to go to a different address, you may indicate that below.We accept checks, money orders, Visa, Mastercard, Discover and American Express. C.O.D. deliveries are available for an additional $6.00 charge.

Method of Payment:


Card number: Expiration:


Ship via:

FED EX GROUND EXPRESS SERVICE (Extra charges will apply)
Please allow 7-10 business days for delivery for FED EX Ground orders.
Please note: FedEx does not deliver to P.O. Boxes.

Ship by United States Postal Service

Inquire about international shipments. Phone: 615-599-2808 or 877-804-4787 toll free (orders only)

This order is a gift. Please ship to the this address:

Name: Phone:
City: State: Zip:


Thank you for your interest in our products.

We appreciate your support.
May you enjoy Health and Happiness, and may Peace be upon us all!

Please fill out this form then hit the "Print" button on your browser.
You may then mail or fax the order to:

Twelve Corners
Franklin, Tennessee 37064

Fax: (615) 599-2855