Shopping with Sheila Harrison

INTERNATIONAL ORDERS
PLEASE CONTACT ME DIRECTLY BEFORE PLACING ORDER

Full Name

Email *

Phone *

Address

Street Address *

City *

State *

Country *

Postal Code *

Select from one of the packages below

Select from one of the packages below *

$698 - Foundational Flow Pack - 9 Bottles of iHeRQles

$698 - Full Restoration Pack - 5 Bottles of iHeRQles, 2 Packs of iPatches, 13mL iRevive (choose 2 packs of iPatches below)

$359 - Wellness Pack - 4 Bottles iHeRQles, 3 - 2mL iRevive

$359 - Ultimate Starter Pack - 2 Bottles iHeRQles, 2 - 5mL iRevive, 1 pack of iPatches (choose 1 pack of iPatches below)

If you selected the Full Restoration Pack or the Ultimate Starter Pack, Pick your iPatch(s) below

Would You Like a Additional Irevive Cream For $120

Yes

No

(Required to complete your order)

Card Type: *

Visa

MasterCard

AMEX

Discover

Credit Card Number: *

Expiration Date (MM / YY): *

Security Code (CVV): *

BILLING ADDRESS (Check one) *

Same as shipping address above

Different billing address (please list below):

If Address Is Different

🔁 Yes - Stay Active, Rewarded & Connected *

— Enroll in a flexible monthly autoship (any product). Participate in the Loyalty Rewards Program, Remain eligible for optional affiliate participation and sharing opportunities, Be a part of the community and ongoing education. Cancel at any time.

NO — One-time purchase only (no recurring charges). I do not wish to enroll in the autoship, the Loyalty Rewards Program, affiliate opportunities, or the community at this time.

Policy and Procedure *

I Agree to the Policy and Procedures

Terms and Condition *

Agree to Terms and Conditions

Refund Policy *

I agree to the refund policy

Text Communications *

I agree to receive communications by text

Email Communications *

I agree to receive communications by email

AUTHORIZATION By signing below, I authorize Sheila Harrison to use the above payment information one time to place my order for the selected blood flow support option *

Clear

Credit Card Authorization & Third-Party

Processing Disclosure Please read carefully before submitting your information. By entering your credit card information and submitting this form, you acknowledge and agree to the following:

1. No Payment Is Processed on This Form This form does not process or charge your credit card. The information collected here is used only to initiate your purchase with a third-party payment provider.

2. Third-Party Payment Processing Your payment will be completed on a separate, secure third-party platform. We do not directly process, authorize, or complete credit card transactions on this site.

3. Authorization to Transfer Information By submitting this form, you authorize us to securely provide your credit card information to the designated third-party service for the sole purpose of completing your purchase.

4. No Storage or Reuse We do not store, reuse, or retain your credit card information beyond what is necessary to facilitate the transaction with the third-party provider.

5. Final Purchase Occurs Elsewhere The actual purchase, charge, and transaction approval occur on the third-party website and are subject to their terms, conditions, and privacy policies.

If you do not agree with these terms, do not submit this form.

Quantum Spray Plant Molecules

Designed for Instant Absorption and Enhanced Vitality

Shopping with Sheila Harrison

INTERNATIONAL ORDERS
PLEASE CONTACT ME DIRECTLY BEFORE PLACING ORDER

If you selected the Full Restoration Pack or the Ultimate Starter Pack, Pick your iPatch(s) below

(Required to complete your order)

Quantum Spray Plant Molecules

Designed for Instant Absorption and Enhanced Vitality

Shopping with Sheila Harrison

INTERNATIONAL ORDERS PLEASE CONTACT ME DIRECTLY BEFORE PLACING ORDER

If you selected the Full Restoration Pack or the Ultimate Starter Pack, Pick your iPatch(s) below

(Required to complete your order)

INTERNATIONAL ORDERS
PLEASE CONTACT ME DIRECTLY BEFORE PLACING ORDER