Rocky Mountain Royal Jelly

Pleasant Valley Apiaries of Montana LLC

10010 Lost Prairie Road
Marion, MT 59925
USA

1-800-988-3750

FAX # (406) 858-2255

ORDER FORM

Please PRINT and COMPLETE.
Please use a separate form for each address items will be shipped to.

Service and Home Delivery Rates are for the Lower 48 States ONLY!
Please call if you need a quote on S&H.

Item Quantity Price Each Extended Total
Propolis 500 mg capsules 50 per bottle   x $14.95   
  Service and Home Delivery for 1 bottle $4.95   x $4.95   
  Service and Home Delivery for 2-5 bottles $ 8.50

 

x $8.50

 

 

Bee Pollen 500 mg capsules 50 per bottle   x $7.95   
  Service and Home Delivery for 1 bottle $4.95   x $4.95   
  Service and Home Delivery for 2-5 bottles $ 8.50

 

x $8.50

 

 

Rocky Mountain Royal Jelly 60,000mg (20.3 ounces by weight) in raw unfiltered NW Montana honey   x $27.95   
  Service and Home Delivery   x $8.50   
120-SIMPLE
Rocky Mountain Royal Jelly 120,000mg in raw unfiltered NW Montana honey

 

x $40.95 

 

 

  Service and Home Delivery

 

x $8.50

 

 

120-PLUS
Rocky Mountain Royal Jelly "Plus" 120,000 mg with 6,000 mg of Bee Pollen and 6,000 mg of Propolis in raw unfiltered NW Montana honey
  x $47.95   
  Service and Home Delivery   x $8.50   
Rocky Mountain Royal Jelly 500 mg capsules; 50 capsules   x $16.95   
  Service and Home Delivery for 1 bottle $ 4.95   x $4.95   
  Service and Home Delivery for 2-5 bottles $ 8.50

 

x $8.50

 

 

Rocky Mountain Royal Jelly 1000 mg Capsules w/100 mg Propolis & 100 mg bee pollen; 50 capsules    x $21.95   
 Service and Home Delivery for 1 bottle $4.95    x $4.95   
  Service and Home Delivery for 2-5 bottles $ 8.50

 

x $8.50

 

 

RMRJ Complex, 16 oz. w/120,000mg RJ

 

x $52.95

 

 

  Service and Home Delivery   x $8.50   
5 pounds of Raw Unheated Unfiltered NW Montana Honey
{Does not qualify for the monthly subscriber program.}
   x $26.95   

Service & Home Delivery will be charged according to current UPS Ground Fees.

12 pound bucket of Raw Unheated Unfiltered NW Montana Honey
{Does not qualify for the monthly subscriber program.}
   x $52.95   

Service & Home Delivery will be charged according to current UPS Ground Fees.

Fresh Frozen Pure Royal Jelly 1 kilo; (S&H included in the Continental US; for Alaska and Hawaii please call for a quote.)   x $135.95   
Highest Quality Granular Bee Pollen, 1 Pound
{Does not qualify for the monthly subscriber program.}
  x $14.95   
  Service and Home Delivery

 

x $8.50

 

 

TOTAL FOR THIS ADDRESS:       
Ordered by: (same as credit card address) Ship to: (If different than "Ordered by".)
Name: Name:
Street: Street:
City, State, Zip: City, State, Zip:
Day Phone #: Day phone #:

Business - or - Residence
(circle one)

Business - or - Residence
(circle one)

Email address:
Please check payment method:
  Personal Check
  Money Order
  Discover Number:  Exp. Date:
  Mastercard Number:  Exp. Date:
  American Express Number:  Exp. Date:
  Visa Number:  Exp. Date:

 

Diners Club

Number:

Exp. Date:

Thank you for your order.
Please mail completed form and payment to our address above.
For faster order processing, fax your order to (406) 858-2255 (credit card orders only).
We accept personal checks, Visa, Mastercard, American Express or money orders.
Questions? Call our toll-free number 1-800-988-3750 !

All prices are subject to change without notice.

Last updated January 9, 2012