Mineral Shaman: HTMA Order Form

Your package(Required)

Profile 1, results only

Profile 1 + 60 minute consultation

Profile 1 + Trace Elements report

Profile 1 + 60 minute consultation + Trace Elements report

Most people choose the consultation, the test plus an hour with Hamid to make sense of it. The Trace Elements report is the laboratory’s written interpretation.

Order Total

About you

Name(Required)

First Last

Write your name as it will appear on the laboratory’s submittal form, since the two must match.

Email(Required)

Enter Email Confirm Email

Phone(Required)

With your country code if you are outside the United States.

Where the kit goes

Country(Required)

Where you live decides whether a kit is mailed to you or the laboratory’s submittal form is emailed.

Trace Elements does not accept samples from Australia, Austria, Bahrain, Colombia, Denmark, England, Finland, Germany, Hungary, Indonesia, Ireland, Kingdom of Saudi Arabia, Korea, Kuwait, Malaysia, Mexico, New Zealand, Norway, Oman, Papua New Guinea, Poland, Qatar, Scotland, Singapore, Sweden, Switzerland, Thailand or UAE, and lists its regional distributors for those countries at http://www.traceelements.com/CompanyInfo/contact.aspx.

State(Required)

In New York State the law allows no kit to be mailed in and no sample collected there to be tested, so email [email protected] and I will tell you how to submit your sample.

Kit mailing address(Required)

Street Address Address Line 2 City ZIP Code

The kit is mailed here.

Outside the United States no kit is mailed: once your order is in I email you the laboratory’s submittal form and instructions, you collect your sample in a small envelope of your own and mail it to Trace Elements, Inc. in Texas, at your own expense.

Payment

Your card is processed securely by Stripe. As soon as your order goes through you will get a confirmation email telling you exactly what happens next.

Credit Card Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Enter the billing address associated with your credit card. This may be the same as your mailing address.

Credit Card