Mail or Fax Order Form 
We accept checks or money orders. For personal checks, orders are not 
considered placed until the check clears.  We also process credit cards manually.
For checks or money orders, please print this form, fill out, and mail with payment to:
Koru Naturals 
P.O. Box 1252
Hillsborough, NC 27278-2576
For credit card orders please fax to (815) 642-0921
Please read shipping options prior to sending your order.
Item Number Qty Price Total
         
         
         
         
         
         
         
         
         
         
         
         
Please add shipping option        
If applicable, NC tax (7 %)        
Total         
Mail to: 
Name:
Address:
Phone (optional, used only if we have questions):
email address (optional):
Manually-processed Credit Card Orders (fax to secure number 815-642-0921)

If billing address does not match the shipping address, we reserve the right to decline the order.

Please send us an email if this is a problem.

Master     Card     Visa    AMEX   (circle one)

Number:

Expiry date:

Security code:

Name on card:

Signature and date: