Herb Order Form - Kerala Ayurveda USA

Please complete the following form to request a product or herb order. All orders are manually processed by our Apothecary team.

Please allow 1-2 business days (Mon-Fri) for order processing time.

Pickup & Shipping

Orders may be picked up at our Bay Area Wellness Center, 691 S Milpitas Blvd, Suite 206, Milpitas, CA 95035 Monday-Friday between 9:00am-5:30pm, or you may select to have your order shipped.

Please note: orders are not available for same day pickup. If you select a pickup window below, the earliest pickup date will be one (1) business day (Mon-Friday) after your order has been submitted.

Once your order is processed, we will email you the shipment tracking details or date to pick up at the Wellness Center in Milpitas, CA. For hours and location information, click here.

If you have any questions, please contact: products@keralaayurveda.us

Your Information

Please complete the following information. If your billing information is not in our system, we will contact you.

First Name (required)

Last Name (required)

Email (required)

Phone Number (required)

Is your billing information on file with us?

Please select one option

If you are picking up your order, select a pickup time:

Your Shipping Address

For shipped orders only. Items are shipped at an additional cost. We will notify you of the shipping cost after your order form is received and processed.

Street Address

City

State

Zip Code

Your Order

Please indicate the names and quantities of items you request. For quantities: please do not list your prescribed dosage. Please indicate quantity of the product you wish to purchase, e.g.

→ Bottles and boxes: “1” will indicate 1 bottle/box

→ For loose powders, requested desired ounces: e.g. “4oz”

Loose powders are $4 per ounce. Convert quantities to ounces: click here to for a converter.

Item 1 Name

Item 1 Quantity *
*REQUIRED: For loose herbs and powders, please specify amount in tablespoons (tbsp) or ounces (oz)

Item 2 Name

Item 2 Quantity *
*REQUIRED: For loose herbs and powders, please specify amount in tablespoons (tbsp) or ounces (oz)

Item 3 Name

Item 3 Quantity *
*REQUIRED: For loose herbs and powders, please specify amount in tablespoons (tbsp) or ounces (oz)

Item 4 Name

Item 4 Quantity *
*REQUIRED: For loose herbs and powders, please specify amount in tablespoons (tbsp) or ounces (oz)

Item 5 Name

Item 5 Quantity *
*REQUIRED: For loose herbs and powders, please specify amount in tablespoons (tbsp) or ounces (oz)

Item 6 Name

Item 6 Quantity *
*REQUIRED: For loose herbs and powders, please specify amount in tablespoons (tbsp) or ounces (oz)

Item 7 Name

Item 7 Quantity *
*REQUIRED: For loose herbs and powders, please specify amount in tablespoons (tbsp) or ounces (oz)

Item 8 Name

Item 8 Quantity *
*REQUIRED: For loose herbs and powders, please specify amount in tablespoons (tbsp) or ounces (oz)

Questions or Comments
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